Individual provider Active NPI

Kristin Orsucci, LCMHC

  • Counselor
  • Keene, NH
National Provider Identifier
1972603538
Registry record updated Jul 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
101Y00000X Issued in NH
Practice address
20 Main St Ste 6
Keene, NH 03431-3784
Phone
(603) 738-0542
Fax
(603) 352-7481
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 101Y00000X NH Primary

Addresses

Primary practice location

20 Main St Ste 6
Keene, NH 03431-3784

Mailing address

20 Main St Ste 6
Keene, NH 03431-3784
Phone (603) 738-0542

Other identifiers 1

IdentifierTypeStateIssuer
30426377MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20240220000120 VT Practitioner - Mental Health Counselor 8729448501 Practice locations: Grafton, VT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

51 Bell Rd
Grafton, VT 05146-9716
Phone (603) 738-0542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101Y00000XNHMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280016000000",
    "number": "1972603538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAIN ST STE 6",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313784",
            "telephone_number": "603-738-0542",
            "fax_number": "603-352-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAIN ST STE 6",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313784",
            "telephone_number": "603-738-0542",
            "fax_number": "603-352-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORSUCCI",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2010-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NH",
            "license": "101Y00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30426377",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.