Active NPI
Sakura Counseling PLLC
- Mental Health Counselor
- Center Conway, NH
National Provider Identifier
1952908642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SAKURA COUNSELING PLLC
- Practice address
- 1620 E Main St
Center Conway, NH 03813-4117 - Phone
- (207) 890-4423
- NPI assigned
- Oct 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Stoddard, LCMHC, MLADC
- Title
- Owner
- Phone
- (207) 890-4423
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1620 E Main St
Center Conway, NH 03813-4117
Mailing address
1620 E Main St
Center Conway, NH 03813-4117
Phone (207) 890-4423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3124451 | Medicaid | NH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620777600000",
"number": "1952908642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 E MAIN ST",
"city": "CENTER CONWAY",
"state": "NH",
"postal_code": "038134117",
"telephone_number": "207-890-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 E MAIN ST",
"city": "CENTER CONWAY",
"state": "NH",
"postal_code": "038134117",
"telephone_number": "207-890-4423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAKURA COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-06",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A",
"authorized_official_last_name": "STODDARD",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-890-4423",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCMHC, MLADC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3124451",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Center Conway, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.