Madison Puglisi – Mental Health Counselor

Key facts

NPI: 1992531875
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
Practice address: 75 Railroad Ave Unit B4
Epping, NH 03042-3540
Phone: (603) 318-2635
NPI assigned: Sep 9, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Mindful Holistics, LLC Clinical Psychologist · Epping, NH · NPI 1104410281

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Mindful Holistics, LLC		Current since Sep 15, 2024	Accepting new patients

Locations

75 Railroad Ave
Unit B4
Epping, NH 03042
Phone (603) 318-2635

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
School Counselor	101YS0200X
Mental Health Counselor	101YM0800X			Yes

Addresses

Primary practice location

75 Railroad Ave Unit B4
Epping, NH 03042-3540

Mailing address

75 Railroad Ave Unit B4
Epping, NH 03042-3540
Phone (603) 318-2635

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 9, 2024.

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1992531875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 RAILROAD AVE UNIT B4",
            "city": "EPPING",
            "state": "NH",
            "postal_code": "030423540",
            "telephone_number": "603-318-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 RAILROAD AVE UNIT B4",
            "city": "EPPING",
            "state": "NH",
            "postal_code": "030423540",
            "telephone_number": "603-318-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGLISI",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Epping, NH

All providers in Epping, NH · Mental Health Counselor in New Hampshire

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.