Individual provider Active NPI

Andrea Rose Mitchell, LMHC, LCMHC

  • Mental Health Counselor
  • Manchester, NH
National Provider Identifier
1962026252
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1994 Issued in NH
Practice address
250 Commercial St Ste 2020
Manchester, NH 03101-1118
Phone
(603) 801-4717
NPI assigned
Jun 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10425 MA
Mental Health Counselor 101YM0800X 1994 NH Primary

Addresses

Primary practice location

250 Commercial St Ste 2020
Manchester, NH 03101-1118

Mailing address

PO Box 1135
Londonderry, NH 03053-1135
Phone (978) 822-0869

Other practice location 1

250 Commercial St
Manchester, NH 03101-1142
Phone (603) 801-4714

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amitchell@ne-family.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Living, P.L.L.C. CurrentSince Jul 16, 2023 Accepting new patients
Northeast Family Services of New Hampshire, Inc. Mental Health CurrentSince Sep 28, 2021 Accepting new patients

Locations

250 Commercial St
Ste 2020
Manchester, NH 03101
Phone (603) 263-9628

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1962026252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1135",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030531135",
            "telephone_number": "978-822-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 COMMERCIAL ST STE 2020",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011118",
            "telephone_number": "603-801-4717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Commercial St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031011142",
            "country_code": "US",
            "telephone_number": "603-801-4714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ANDREA",
        "middle_name": "ROSE",
        "credential": "LMHC, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10425",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "1994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amitchell@ne-family.com",
            "affiliation": "N",
            "endpointDescription": "Work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "250 Commercial St Ste 2020",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031011118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.