Individual provider Active NPI

Mary Margaret Wirth, LCMHC

  • Mental Health Counselor
  • Nashua, NH
National Provider Identifier
1922304245
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
842 Issued in NH
Practice address
589 West Hollis Street
Suite 203
Nashua, NH 03062
Phone
(603) 921-6226
Fax
(603) 821-6142
NPI assigned
Feb 3, 2011
Last updated
Nov 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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 842 NH Primary

Addresses

Primary practice location

589 West Hollis Street
Suite 203
Nashua, NH 03062

Mailing address

589 West Hollis Street
Suite 203
Nashua, NH 03062
Phone (603) 921-6226

Other identifiers 3

IdentifierTypeStateIssuer
3071879MedicaidNH
30428662MedicaidNH
3077805MedicaidNH

Other names 1

  • Peggy Wirth Other 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

State licenses

LicenseStateTypeSpecialty
842NHMDPhysical Therapy Assistant

Organizations & group practices 1

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": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1922304245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 WEST HOLLIS STREET",
            "address_2": "SUITE 203",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03062",
            "telephone_number": "603-921-6226",
            "fax_number": "603-821-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 WEST HOLLIS STREET",
            "address_2": "SUITE 203",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03062",
            "telephone_number": "603-921-6226",
            "fax_number": "603-821-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTH",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3071879",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30428662",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077805",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "WIRTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.