Organization Active NPI

Katherine I. Thonis, LLC

  • Clinical Social Worker
  • Manchester, NH
National Provider Identifier
1982970885
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KATHERINE I. THONIS, LLC
Practice address
250 Commercial St
Suite # 1012 B
Manchester, NH 03101-1142
Phone
(603) 801-2732
Fax
(603) 206-5621
NPI assigned
Mar 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Katherine I ThonisNPI 1538207477
Title
LSCW
Phone
(603) 801-2732

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1242 NH

Addresses

Primary practice location

250 Commercial St
Suite # 1012 B
Manchester, NH 03101-1142

Mailing address

250 Commercial St Ste 211
Manchester, NH 03101-1142
Phone (603) 801-2732

Other identifiers 2

IdentifierTypeStateIssuer
30428812MedicaidNH
1538207477MedicaidNH

Other names 1

  • Mill Creek Counseling Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Millcreek Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120329000683 NH Part B Supplier - Clinic/Group Practice 3476713314 Receives reassigned benefits from 1 practitioner
Practice locations: Manchester, NH

National Provider Directory

National Provider Directory

Locations

250 Commercial St
Ste 2005E
Manchester, NH 03101
Phone (603) 801-2732

250 Commercial St
Ste 2011
Manchester, NH 03101

Practitioners & 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": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1982970885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 COMMERCIAL ST STE 211",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011142",
            "telephone_number": "603-801-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 COMMERCIAL ST",
            "address_2": "SUITE # 1012 B",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011142",
            "telephone_number": "603-801-2732",
            "fax_number": "603-206-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE I. THONIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "THONIS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "LSCW",
        "authorized_official_telephone_number": "603-801-2732"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NH",
            "license": "1242",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30428812",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538207477",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Millcreek",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "250 Commercial St Ste 2011",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031011165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mill Creek Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.