Active NPI
Sydney Croteaugorton, LCMHC
- Mental Health Counselor
- Woodsville, NH
National Provider Identifier
1902851298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 121
- Practice address
- 186 S Court St
Woodsville, NH 03785-1024 - Phone
- (603) 747-4193
- Fax
- (603) 747-4193
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 121 | NH | Primary |
Addresses
Primary practice location
186 S Court St
Woodsville, NH 03785-1024
Mailing address
186 S Court St
Woodsville, NH 03785-1024
Phone (603) 747-4193
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121 | NH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902851298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 S COURT ST",
"city": "WOODSVILLE",
"state": "NH",
"postal_code": "037851024",
"telephone_number": "603-747-4193",
"fax_number": "603-747-4193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 S COURT ST",
"city": "WOODSVILLE",
"state": "NH",
"postal_code": "037851024",
"telephone_number": "603-747-4193",
"fax_number": "603-747-4193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROTEAUGORTON",
"first_name": "SYDNEY",
"name_prefix": "Ms.",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodsville, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.