Individual provider Active NPI

Joseph Bates, CRSW

  • Peer Specialist
  • Littleton, NH
National Provider Identifier
1891423075
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
111 Saranac St Ste 140
Littleton, NH 03561-4089
Phone
(603) 356-6400
Fax
(603) 413-4666
NPI assigned
Aug 15, 2022
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

111 Saranac St Ste 140
Littleton, NH 03561-4089

Mailing address

3277 White Mountain Hwy # 2
North Conway, NH 03860-5113
Phone (603) 356-6400

Other practice location 1

3277 White Mountain Hwy # 2
North Conway, NH 03860-5113
Phone (603) 356-6400

Other practice location 2

515 Main St
Gorham, NH 03581-4901
Phone (603) 356-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Heron Neurofeedback and Counseling CurrentSince Aug 28, 2022 Accepting new patients

Locations

515 Main St
Gorham, NH 03581
Phone 6033566400 ext. 1

111 Saranac St
Ste 140
Littleton, NH 03561
Phone 6033566400 ext. 1

3277 White Mountain Hwy
Unit 2
North Conway, NH 03860
Phone (603) 356-6400

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1891423075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 WHITE MOUNTAIN HWY # 2",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605113",
            "telephone_number": "603-356-6400",
            "fax_number": "603-413-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SARANAC ST STE 140",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614089",
            "telephone_number": "603-356-6400",
            "fax_number": "603-413-4666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3277 White Mountain Hwy # 2",
            "address_purpose": "LOCATION",
            "city": "North Conway",
            "state": "NH",
            "postal_code": "038605113",
            "country_code": "US",
            "telephone_number": "603-356-6400",
            "fax_number": "603-413-4666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 Main St",
            "address_purpose": "LOCATION",
            "city": "Gorham",
            "state": "NH",
            "postal_code": "035814901",
            "country_code": "US",
            "telephone_number": "603-356-6400",
            "fax_number": "603-413-4666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "JOSEPH",
        "credential": "CRSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.