Organization Active NPI

Portsmouth and Exeter Mental Health Associates Inc.

  • Mental Health Counselor
  • Portsmouth, NH
National Provider Identifier
1912050311
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PORTSMOUTH AND EXETER MENTAL HEALTH ASSOCIATES INC.
Practice address
500 Market St Unit 1G
Portsmouth, NH 03801-3456
Phone
(603) 433-2656
Fax
(603) 433-2736
NPI assigned
Jan 19, 2007
Last updated
Oct 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Richard CarrNPI 1629112891
Title
President
Phone
(603) 433-2656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NH 302 NH
Mental Health Counselor 101YM0800X NH 235 NH
Mental Health Counselor 101YM0800X Primary
Psychologist 103T00000X NH 1015 NH
Psychologist 103T00000X NH 964 NH
Social Worker 104100000X NH 165 NH
Social Worker 104100000X NH161 NH
Social Worker 104100000X NH 1149 NH
Marriage & Family Therapist 106H00000X NH 50 NH
Psychiatry Physician 2084P0800X NH 9865 NH

Addresses

Primary practice location

500 Market St Unit 1G
Portsmouth, NH 03801-3456

Mailing address

500 Market St Unit 1G
Portsmouth, NH 03801-3456
Phone (603) 433-2656

Other names 1

  • PEMHA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322000153 NH Part B Supplier - Clinic/Group Practice 2466343488 Receives reassigned benefits from 3 practitioners
Practice locations: Portsmouth, NH

National Provider Directory

National Provider Directory

Locations

127 Water St
Fl 2
Exeter, NH 03833

1 Cate St
Fl 5
Portsmouth, NH 03801
Phone (603) 433-2656

500 Market St
Unit 1G
Portsmouth, NH 03801
Phone (603) 427-1428

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1912050311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARKET ST UNIT 1G",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013456",
            "telephone_number": "603-433-2656",
            "fax_number": "603-433-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARKET ST UNIT 1G",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013456",
            "telephone_number": "603-433-2656",
            "fax_number": "603-433-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTSMOUTH AND EXETER MENTAL HEALTH ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-433-2656"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "NH 302",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "NH 235",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "NH 1015",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "NH 964",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NH",
            "license": "NH 165",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NH",
            "license": "NH161",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NH",
            "license": "NH 1149",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NH",
            "license": "NH 50",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "NH 9865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEMHA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PEMHA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.