PASTORAL COUNSELING SERVICES-UNITED CHURCH OF CHRIST, INC. (NPI# 1306934757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306934757 |
Entity Type | Organization |
Organization Name | PASTORAL COUNSELING SERVICES-UNITED CHURCH OF CHRIST, INC. |
Practice Address |
2013 Elm St Manning House Manchester NH 03104-2528 |
Practice Telephone | 6036272702 |
Practice Fax Number | 6036273543 |
Mailing Telephone | 6036272702 |
Mailing Fax Number | 6036273543 |
Enumeration Date | 2006-10-11 |
Last Update Date | 2015-01-08 |
Authorized Official Name | DR. DAVID B REYNOLDS (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6036272702 |
Authorized Official Credential | DMIN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 3075562 | 05 |
Street Address |
2013 ELM ST MANNING HOUSE |
City | MANCHESTER |
State | NH |
Zip Code | 03104-2528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851350268 | Carol Knieriem | Social Worker | 2013 Elm St, Pastoral Counseling Services, Manchester, NH 03104-2528 | 2006-03-23 |
1508405515 | Kenneth Robertson | Counselor | 2013 Elm St, Manchester, NH 03104-2528 | 2019-12-23 |
1780163493 | Sujeong Shin | Social Worker | 2013 Elm St, Manchester, NH 03104-2528 | 2018-08-13 |
1235618703 | Melissa Marie Grudinski | Counselor | 2013 Elm St, Manchester, NH 03104-2528 | 2018-08-07 |
1225221120 | Lisa E Gold | Counselor | 2013 Elm St, Manchester, NH 03104-2528 | 2007-08-23 |
1811029978 | Dianne Terese Philion | Social Worker | 2013 Elm St, Manning House, Manchester, NH 03104-2528 | 2007-03-12 |
1760524193 | Mary J Yost | Counselor | 2013 Elm St, Manchester, NH 03104-2528 | 2007-02-13 |
1851469068 | David B. Reynolds | Counselor | 2013 Elm St, Manning House, Manchester, NH 03104-2528 | 2006-12-04 |
1205904703 | Stephanie Kate Williston | Psychologist | 2013 Elm St, Pastoral Counseling Services, Manchester, NH 03104-2528 | 2006-12-01 |
1477636546 | Emily Bernice Geoghegan | Psychologist | 2013 Elm St, Manchester, NH 03104-2528 | 2006-10-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
Find all providers in zip 03104 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811412133 | New England Counseling Services LLC | Clinic/Center | 1750 Elm St Ste 103, Manchester, NH 03104-2919 | 2017-08-08 |
1225427917 | Bridgewater Support Services, LLC | Clinic/Center | 8139 Ernst Rd, Manchester, MI 48158-9565 | 2015-01-18 |
1629632054 | Riverbend Therapeutic Alliance Pllc | Clinic/Center | 153 Main St Ste 9, Manchester, CT 06042-3112 | 2019-05-01 |
1861995250 | Donna Lennon Counseling | Clinic/Center | 61 North St, Manchester, NH 03104-3029 | 2018-03-13 |
1457592560 | New Hope Manor, Inc | Clinic/Center | 935 Main St, Suite 303, Manchester, CT 06040-6059 | 2009-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508401415 | Deborah C. Cheshire, Psy.d, Pllc | Clinic/Center | 372 West St Ste 200, Keene, NH 03431-2412 | 2019-11-14 |
1427693563 | Cascades of Nh, LLC | Clinic/Center | 9 East Pearl Street, Nashua, NH 03060 | 2019-11-13 |
1962055780 | Robert Kaladish Md Pllc | Clinic/Center | 109 Ponemah Rd Ste 2, Amherst, NH 03031-2834 | 2019-07-21 |
1912466335 | Be. Counseling, LLC | Clinic/Center | 251 Central Ave Ste 3, Dover, NH 03820-4188 | 2019-03-15 |
1902381114 | Mary Boucher Licsw | Clinic/Center | 6 Old Rochester Rd Ste 102c, Dover, NH 03820-2028 | 2018-10-03 |
1215444161 | C. Patricia Hanley, Ph.d Pllc | Clinic/Center | 13 Jenkins Ct Ste 230, Durham, NH 03824-2324 | 2018-01-01 |
1144757691 | Dawn Wyman Licsw Pllc | Clinic/Center | 3 Executive Park Dr Ste 212, Bedford, NH 03110-6975 | 2017-05-15 |
1538394747 | Amherst Psychological Services, Pllc | Clinic/Center | 27 Route 101a Unit 3, Amherst, NH 03031-2739 | 2009-05-18 |
1427659986 | Balance Mental Health, P.l.l.c. | Clinic/Center | 3 Pleasant St Ste 5-6, Concord, NH 03301-4003 | 2020-11-02 |
1003423724 | Granite State Geriatrics Pllc | Clinic/Center | 635 Main St Ste 303, Laconia, NH 03246-3415 | 2020-09-27 |
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City | MANCHESTER |
Zip Code | 03104 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.