NPIMap

Organization Active NPI

Brenda Ucich Licsw

  • Mental Health Counselor
  • Salem, NH
National Provider Identifier
1982983433
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1610 Issued in NH
Legal business name
BRENDA UCICH LICSW
Practice address
130 Main St
Suite 203B
Salem, NH 03079-3176
Phone
(603) 858-2876
NPI assigned
Aug 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Authorized official

Name
Brenda Ucich, LICSWNPI 1770861692
Title
Therapist
Phone
(603) 858-2876

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 1610 NH Primary

Addresses

Primary practice location

130 Main St
Suite 203B
Salem, NH 03079-3176

Mailing address

130 Main St
Suite 203B
Salem, NH 03079-3176

National Provider Directory

National Provider Directory

Locations

130 Main St
Ste 203B
Salem, NH 03079
Phone (603) 858-2876

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": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1982983433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MAIN ST",
            "address_2": "SUITE 203B",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAIN ST",
            "address_2": "SUITE 203B",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793176",
            "telephone_number": "603-858-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA UCICH LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "UCICH",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "603-858-2876",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "1610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.