Individual provider Active NPI

Danielle J Van Dusen, LCMHC, LADCI

  • Mental Health Counselor
  • Concord, NH
National Provider Identifier
1881952075
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2235 Issued in NH
Practice address
75 S Main St # 203
Concord, NH 03301-4868
Phone
(323) 438-2868
NPI assigned
Apr 25, 2012
Last updated
May 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13840 MA
Mental Health Counselor 101YM0800X 2235 NH Primary

Addresses

Primary practice location

75 S Main St # 203
Concord, NH 03301-4868

Mailing address

75 S Main St # 203
Concord, NH 03301-4868
Phone (323) 438-2868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13840MAMDAddiction (Substance Use Disorder) Counselor
2235NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Habit Opco, LLC Past Accepting new patients
Habit Opco, LLC Past Accepting new patients
Nfi North, Inc PastSince Jul 1, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1881952075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 S MAIN ST # 203",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014868",
            "telephone_number": "323-438-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S MAIN ST # 203",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014868",
            "telephone_number": "323-438-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DUSEN",
        "first_name": "DANIELLE",
        "middle_name": "J",
        "credential": "LCMHC, LADCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "13840",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.