NPIMap

Organization Active NPI

713 Chestnut Street Counseling, LLC

  • Mental Health Counselor
  • Manchester, NH
National Provider Identifier
1881845519
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
904 Issued in NH
Legal business name
713 CHESTNUT STREET COUNSELING, LLC
Practice address
713 Chestnut St
Manchester, NH 03104
Phone
(603) 668-9900
Fax
(603) 668-9922
NPI assigned
Sep 30, 2008
Last updated
Feb 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jeannine Pablo-Ferrante, CAGS, LCMHC,MLADC
Title
President
Phone
(603) 668-9900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NH
Mental Health Counselor 101YM0800X 904 NH Primary

Addresses

Primary practice location

713 Chestnut St
Manchester, NH 03104

Mailing address

713 Chestnut St
Manchester, NH 03104
Phone (603) 668-9900

National Provider Directory

National Provider Directory

Locations

713 Chestnut St
Manchester, NH 03104
Phone (603) 668-9900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1881845519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 CHESTNUT ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03104",
            "telephone_number": "603-668-9900",
            "fax_number": "603-668-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 CHESTNUT ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03104",
            "telephone_number": "603-668-9900",
            "fax_number": "603-668-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "713 CHESTNUT STREET COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "PABLO-FERRANTE",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-668-9900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CAGS, LCMHC,MLADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.