Organization Active NPI

Sugar River Care Counseling and Consultation PLLC

  • Mental Health Counselor
  • Claremont, NH
National Provider Identifier
1992199673
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SUGAR RIVER CARE COUNSELING AND CONSULTATION PLLC
Practice address
24 Opera House SQ
Suite 308, Box 25
Claremont, NH 03743-5408
Phone
(603) 287-8269
Fax
(603) 504-6249
NPI assigned
Mar 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Authorized official

Name
Mrs. Sara Beth Poisson, MA, LCMHC, MLADC
Title
Clinician/Owner
Phone
(603) 287-8269

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X NH
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X NH Primary

Addresses

Primary practice location

24 Opera House SQ
Suite 308, Box 25
Claremont, NH 03743-5408

Mailing address

24 Opera House SQ
Suite 308, Box 25
Claremont, NH 03743-5408
Phone (603) 287-8269

Other identifiers 1

IdentifierTypeStateIssuer
3088458MedicaidNH

National Provider Directory

National Provider Directory

Locations

24 Opera House Sq
Ste 308
Claremont, NH 03743
Phone (603) 287-8269

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1992199673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 OPERA HOUSE SQ",
            "address_2": "SUITE 308, BOX 25",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037435408",
            "telephone_number": "603-287-8269",
            "fax_number": "603-504-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 OPERA HOUSE SQ",
            "address_2": "SUITE 308, BOX 25",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037435408",
            "telephone_number": "603-287-8269",
            "fax_number": "603-504-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR RIVER CARE COUNSELING AND CONSULTATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "POISSON",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CLINICIAN/OWNER",
        "authorized_official_telephone_number": "603-287-8269",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LCMHC, MLADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3088458",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.