Individual provider Active NPI

James P Gulla

  • Mental Health Counselor
  • Sandown, NH
National Provider Identifier
1922200658
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
342 Issued in NH
Practice address
13 Hollow Oak Dr
Sandown, NH 03873-2113
Phone
(603) 770-1265
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 342 NH Primary

Addresses

Primary practice location

13 Hollow Oak Dr
Sandown, NH 03873-2113

Mailing address

13 Hollow Oak Dr
Sandown, NH 03873-2113
Phone (603) 770-1265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325000143 NH Practitioner - Mental Health Counselor 5890218408 Practice locations: Sandown, NH

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Sandown, NH 03873
Phone (603) 770-1265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
342NHMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1922200658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HOLLOW OAK DR",
            "city": "SANDOWN",
            "state": "NH",
            "postal_code": "038732113",
            "telephone_number": "603-770-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HOLLOW OAK DR",
            "city": "SANDOWN",
            "state": "NH",
            "postal_code": "038732113",
            "telephone_number": "603-770-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLA",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandown, NH

Sources for this page

Verify at the official NPI Registry.