Active NPI
Jamie Mitchell Hallengren, M.A., L.M.F.T
- Marriage & Family Therapist
- Keene, NH
National Provider Identifier
1912980517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 76
- Practice address
- 103 Roxbury St
Suite 209
Keene, NH 03431-8801 - Phone
- (603) 355-6655
- NPI assigned
- Nov 29, 2005
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 76 | NH | Primary |
Addresses
Primary practice location
103 Roxbury St
Suite 209
Keene, NH 03431-8801
Mailing address
39 Pine Tree Cir
PO Box 485
Spofford, NH 03462-4005
Phone (603) 363-8481
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311262 | Other | NH | MHN |
| 9384420 | Other | NH | PHCS |
| 30423474 | Medicaid | NH | |
| 14Y001557NH02 | Other | NH | ANTHEM BCBS/BHN |
| 5483118 | Other | NH | ULTRABENEFITS/HCVM |
| 2165404 | Other | NH | CIGNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 76 | NH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1912980517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 PINE TREE CIR",
"address_2": "PO BOX 485",
"city": "SPOFFORD",
"state": "NH",
"postal_code": "034624005",
"telephone_number": "603-363-8481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 ROXBURY ST",
"address_2": "SUITE 209",
"city": "KEENE",
"state": "NH",
"postal_code": "034318801",
"telephone_number": "603-355-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLENGREN",
"first_name": "JAMIE",
"middle_name": "MITCHELL",
"name_prefix": "Ms.",
"credential": "M.A., L.M.F.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NH",
"license": "76",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "311262",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9384420",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30423474",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS/BHN",
"identifier": "14Y001557NH02",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ULTRABENEFITS/HCVM",
"identifier": "5483118",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2165404",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}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 Jul 9, 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.