NPIMap

Individual provider Active NPI

Christine Alice Averill, MLADC

  • Addiction (Substance Use Disorder) Counselor
  • Concord, NH
National Provider Identifier
1972992428
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0471 Issued in NH
Practice address
4 Court St
2ND Floor
Concord, NH 03301-4306
Phone
(603) 225-5445
Fax
(603) 226-4690
NPI assigned
Jan 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0471 NH Primary

Addresses

Primary practice location

4 Court St
2ND Floor
Concord, NH 03301-4306

Mailing address

4 Court St
2ND Floor
Concord, NH 03301-4306
Phone (603) 225-5445

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

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1972992428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COURT ST",
            "address_2": "2ND FLOOR",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014306",
            "telephone_number": "603-225-5445",
            "fax_number": "603-226-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COURT ST",
            "address_2": "2ND FLOOR",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014306",
            "telephone_number": "603-225-5445",
            "fax_number": "603-226-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERILL",
        "first_name": "CHRISTINE",
        "middle_name": "ALICE",
        "credential": "MLADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.