BONFIRE BEHAVIORAL HEALTH (NPI# 1982081154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982081154 |
| Entity Type | Organization |
| Organization Name | BONFIRE BEHAVIORAL HEALTH |
| Practice Address |
10 Grove St Dover NH 03820-3334 |
| Mailing Address |
10 Grove St Unit A Dover NH 03820-3334 |
| Practice Telephone | 6036173399 |
| Mailing Telephone | 6036173399 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | JOHN ELDREDGE (OWNER) |
| Authorized Official Telephone | 6032351489 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
10 GROVE ST |
| City | DOVER |
| State | NH |
| Zip Code | 03820-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772116 | Vincent Joe | Counselor | 10 Grove St, Dover, NH 03820-3366 | 2020-08-25 |
| 1790397909 | Lauren Rush | Physician Assistant | 10 Grove St, Dover, NH 03820-3366 | 2020-08-19 |
| 1457849242 | Elizabeth Nicole Key | Counselor | 10 Grove St, Dover, NH 03820-3334 | 2018-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701242 | Kassie Nicole Zukowski | Speech-Language Pathologist | 40 Chestnut St., Unit 3, Dover, NH 03820 | 2020-08-18 |
| 1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
| 1790324002 | Mark Boren | Driver | 29 Cornerstone Dr., Dover, NH 03820 | 2020-01-03 |
| 1568963221 | Sarah Hesketh | Speech-Language Pathologist | 61 Locust Street #333, Dover, NH 03820 | 2018-02-27 |
| 1881106524 | Ashley Leighton | Specialist/Technologist | 197 Dover Point Rd, Dover, NH 03820 | 2017-11-03 |
| 1588048854 | Alliance Mental Health and Youth Consultation Services LLC | Counselor | 1 Washington St Ste 318, Dover, NH 03820 | 2015-07-16 |
| 1275920027 | Meredith Ashley Joyce | Counselor | 50 Chesnut St., Dover, NH 03820 | 2015-04-20 |
| 1891182655 | Jodi Alger | Registered Nurse | 113 Crosby Rd Suite 1, Dover, NH 03820 | 2015-04-20 |
| 1497148159 | Laura Anne Forsblad | Counselor | 750 Central Ave Ste Us, Dover, NH 03820 | 2015-03-05 |
| 1295142867 | Heather M Driscoll | Case Management | 50 Chestnut Street, Suite A, Dover, NH 03820 | 2014-07-16 |
| Find all providers in zip 03820 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790145209 | Psychotherapeutic Services Inc | Clinic/Center | 514 W Lebanon Rd, Dover, DE 19901-6158 | 2016-02-25 |
| 1033578893 | Psychotherapeutic Services Inc | Clinic/Center | 1420 Mckee Rd, Dover, DE 19904-1378 | 2016-02-22 |
| 1679906465 | Excel Treatment Center of Dover, LLC | Clinic/Center | 58 N Sussex St, Dover, NJ 07801-3912 | 2013-08-15 |
| 1063982114 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-12-03 |
| 1427528678 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-11-30 |
| 1225503303 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-10-04 |
| 1083164339 | Psychotherapeutic Services Inc | Clinic/Center | 21 Saulsbury Road, Dover, DE 19904-2760 | 2016-10-11 |
| 1588085690 | Southeastern New Hampshire Alcohol and Drug Services | Clinic/Center | 272 County Farm Rd, Dover, NH 03820-6003 | 2013-12-17 |
| 1730440041 | Community Mental Healthcare, Inc. | Clinic/Center | 201 Hospital Dr, Dover, OH 44622-2058 | 2012-06-04 |
| 1528361623 | Holcomb Associates Inc. | Clinic/Center | 884 Walker Rd Ste B, Dover, DE 19904-2758 | 2010-12-10 |
| Find all providers in DOVER | ||||
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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.