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FRED BATES M.ED. LCMHC LADC NPI 1174622419


NPI Information

NPI: 1174622419
Provider Name: FRED BATES, M.ED., LCMHC, LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
302 ROCKINGHAM RD
LONDONDERRY, NH
ZIP 03053
Phone: (603) 296-4087
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Fred Bates, M.ED., LCMHC, LADC is an addiction (substance use disorder) counselor in Londonderry, NH. Fred Bates, M.ED., LCMHC, LADC NPI is 1174622419. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

302 ROCKINGHAM RD
LONDONDERRY, NH
ZIP 03053-103
Phone: (603) 296-4087
Fax: (603) 296-4089

The enumeration date for this NPI number is 9/22/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)460NEW HAMPSHIREYes
2101YM0800XCounselorMental Health331NEW HAMPSHIREX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
114Y000994NH01OTHERNEW HAMPSHIREBLUE CROSS BLUE SHIELD NH
230420929MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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