Individual provider Active NPI

Tammy Anne Nicholson, LCMHC

  • Mental Health Counselor
  • Portsmouth, NH
National Provider Identifier
1891088274
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1154 Issued in NH
Practice address
100 Eileen Dondero Foley Ave Ste 302
Portsmouth, NH 03801-4597
Phone
(603) 883-0005
NPI assigned
May 18, 2011
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 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 8421 MA
Mental Health Counselor 101YM0800X 1154 NH Primary

Addresses

Primary practice location

100 Eileen Dondero Foley Ave Ste 302
Portsmouth, NH 03801-4597

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice location 1

76 Winter St
Haverhill, MA 01830-5760
Phone (978) 373-1181 ext. 33

Other practice location 2

16 Fifth St
Dover, NH 03820-2930
Phone (603) 883-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228000956 NH Practitioner - Mental Health Counselor 7911342159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Counseling Center of Nashua IncGroup PAC ID 3274523758, 250 clinicians

Practice addresses (Care Compare)

100 Eileen Dondero Foley Ave
Suite 302
Portsmouth, NH 03801-4597
Phone (603) 883-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8421MAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center of Nashua Inc Addiction (Substance Use Disorder) CurrentSince Jan 16, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

16 Fifth St
Dover, NH 03820
Phone (603) 617-4799

24 Front St
Exeter, NH 03833
Phone (603) 772-3900

24 Front St
Ste 304
Exeter, NH 03833

30 Temple St
Ste 650
Nashua, NH 03060
Phone (603) 689-7900

100 Eileen Dondero Foley Ave
Ste 302
Portsmouth, NH 03801
Phone (603) 427-6868

Organizations & group practices 1

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": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1891088274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EILEEN DONDERO FOLEY AVE STE 302",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014597",
            "telephone_number": "603-883-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Winter St",
            "address_purpose": "LOCATION",
            "city": "Haverhill",
            "state": "MA",
            "postal_code": "018305760",
            "country_code": "US",
            "telephone_number": "978-373-1181 x33",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Fifth St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202930",
            "country_code": "US",
            "telephone_number": "603-883-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "TAMMY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "8421",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "1154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.