FRED BATES (NPI# 1174622419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174622419 |
| Entity Type | Individual |
| Full Name | FRED BATES |
| Credential | M.ED., LCMHC, LADC |
| Practice Address |
302 Rockingham Rd Londonderry NH 03053-2103 |
| Practice Telephone | 6032964087 |
| Practice Fax Number | 6032964089 |
| Mailing Telephone | 6032964087 |
| Mailing Fax Number | 6032964089 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
460 | NH | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
331 | NH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | BLUE CROSS BLUE SHIELD NH | 14Y000994NH01 | 01 |
| NH | 30420929 | 05 |
| Street Address |
302 ROCKINGHAM RD |
| City | LONDONDERRY |
| State | NH |
| Zip Code | 03053-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063518736 | Kelly Parsons | Counselor | 302 Rockingham Rd, Londonderry, NH 03053-2103 | 2006-09-16 |
| 1326149188 | The Birch Street Counseling Center, Inc. | Counselor | 302 Rockingham Rd, Londonderry, NH 03053-2103 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142380 | Convenientmd LLC | Clinic/Center | 42 Nashua Road, Londonderry, NH 03053 | 2020-10-21 |
| 1053893867 | Orthotics In Motion LLC | Prosthetic/Orthotic Supplier | 136 Harvey Rd, Suite A105, Londonderry, NH 03053 | 2018-08-29 |
| 1093260754 | Mary Dube | Counselor | 50 Nashua Rd., Suite 205, Londonderry, NH 03053 | 2016-08-23 |
| 1619325990 | Darin Gray | Physician Assistant | 75 Gilcrest Road, Unit 100, Londonderry, NH 03053 | 2016-05-27 |
| 1427427574 | Valerie Jean Mazzola | Social Worker | 3 Nutfield Drive, Londonderry, NH 03053 | 2015-09-18 |
| 1609244789 | Bresnahan & Ball Counseling Services | Counselor | 1 B Commons Drive Suite 7, Londonderry, NH 03053 | 2015-09-08 |
| 1780068098 | Paul Timothy Hellings | Orthotist | 136 Harvey Rd Ste A105, Londonderry, NH 03053 | 2015-07-16 |
| 1962805960 | Liani Perez | Social Worker | 5 Picadilly Circle, Londonderry, NH 03053 | 2014-10-03 |
| 1871921007 | Debra Ann Champa | Physical Therapy Assistant | 1 Cardinal Circle, Londonderry, NH 03053 | 2013-10-25 |
| 1649523655 | Granite Strategic Transportation | Private Vehicle | 1 Nashua Road, 26, Londonderry, NH 03053 | 2012-10-16 |
| Find all providers in zip 03053 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093260754 | Mary Dube | Counselor | 50 Nashua Rd., Suite 205, Londonderry, NH 03053 | 2016-08-23 |
| 1609244789 | Bresnahan & Ball Counseling Services | Counselor | 1 B Commons Drive Suite 7, Londonderry, NH 03053 | 2015-09-08 |
| 1215312244 | Charles Bussison | Counselor | 75 Gilcreast Rd, Londonderry, NH 03053-3564 | 2015-07-20 |
| 1306220561 | Dube Counseling Service | Counselor | 50 Nashua Rd Ste 205, Londonderry, NH 03053-3434 | 2015-07-16 |
| 1588931562 | Joanne Bickford | Counselor | 80 Nashua Rd, Londonderry, NH 03053-3426 | 2011-11-19 |
| 1326149188 | The Birch Street Counseling Center, Inc. | Counselor | 302 Rockingham Rd, Londonderry, NH 03053-2103 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891843 | Faithanne Blue | Counselor | 60 Rogers St Unit 1, Manchester, NH 03103-5070 | 2020-11-05 |
| 1548861503 | Gary Alan Richard | Counselor | 2957 Main St. Rt. 302, Bethlehem, NH 03574 | 2020-11-05 |
| 1093322364 | Northstar Wellness Associates Pllc | Counselor | 171 Daniel Webster Hwy Unit 11, Belmont, NH 03220-3053 | 2020-09-30 |
| 1255946752 | Seaside Serenity Addiction Support & Referral | Counselor | 6 Appledore Ave, North Hampton, NH 03862-2303 | 2020-09-11 |
| 1770117681 | Debra J. Towle | Counselor | 11 Riverglen Ln Ste 100, Littleton, NH 03561-5748 | 2020-02-29 |
| 1164054094 | Victoria Elizabeth Lee | Counselor | 41 Ingham Rd, Merrimack, NH 03054-4204 | 2020-02-08 |
| 1265070221 | Dorothy Moffitt | Counselor | 2 Buck Rd Ste J&k, Hanover, NH 03755-2715 | 2019-12-20 |
| 1477199081 | Helping Hands Outreach Ministries, Inc. | Counselor | 50 Lowell St, Manchester, NH 03101-1635 | 2019-11-19 |
| 1174166391 | Summer Rain Doran | Counselor | 74 Northeastern Blvd Ste 10a, Nashua, NH 03062-3142 | 2019-10-21 |
| 1710538673 | Samantha Corinne Boutsianis | Counselor | 206 Jewett St Apt 2b, Manchester, NH 03103-2879 | 2019-09-23 |
| Find all providers with the same taxonomy | ||||
| City | LONDONDERRY |
| Zip Code | 03053 |
Please comment or provide details below to improve the information on FRED BATES.
| 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.