Individual provider Active NPI

Jaimie Z Allen, M.A., LCMHC, R-DMT

  • Mental Health Counselor
  • Keene, NH
National Provider Identifier
1902255649
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1194 Issued in NH
Practice address
441 Main St
Keene, NH 03431-4181
Phone
(603) 903-1414
Fax
(603) 352-0685
NPI assigned
Jun 3, 2016
Last updated
Jun 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1194 NH Primary

Addresses

Primary practice location

441 Main St
Keene, NH 03431-4181

Mailing address

441 Main St
Keene, NH 03431-4181
Phone (603) 903-1414

Other names 1

  • Ms. Jaimie Lynne Zablocki Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1194NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Balance Therapy Center P.L.L.C Past Accepting new patients
Meredith Reuter LLC PastSince Jun 18, 2023 Accepting new patients

Organizations & group practices 2

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": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1902255649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 MAIN ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314181",
            "telephone_number": "603-903-1414",
            "fax_number": "603-352-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 MAIN ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314181",
            "telephone_number": "603-903-1414",
            "fax_number": "603-352-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JAIMIE",
        "middle_name": "Z",
        "name_prefix": "Mrs.",
        "credential": "M.A., LCMHC, R-DMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "1194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIMIE",
            "last_name": "ZABLOCKI",
            "middle_name": "LYNNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.