Mr Stephen Michael Gannon, LADC1 - Medicare Counselor in Concord, NH

Mr Stephen Michael Gannon, LADC1 is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Concord, New Hampshire. He graduated from healthcare school in 2014 and has 12 years of diverse experience with area of expertise as Mental Health Counselor. His current practice location is 117 Manchester St Ste 5a, Concord, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 606-9357.

Mr Stephen Michael Gannon is licensed to practice in Massachusetts (license number 22822) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1538462312.

Contact Information

Mr Stephen Michael Gannon, LADC1
117 Manchester St Ste 5a,
Concord, NH 03301-5101
(603) 606-9357
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Stephen Michael Gannon
GenderMale
SpecialityMental Health Counselor
Experience12 Years
Location117 Manchester St Ste 5a, Concord, New Hampshire
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Stephen Michael Gannon graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1538462312
  • Provider Enumeration Date: 12/16/2010
  • Last Update Date: 06/03/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5890260277
  • Enrollment ID: I20260422001338

Medical Identifiers

Medical identifiers for Mr Stephen Michael Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538462312NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 1561 (New Hampshire)Secondary
251B00000XCase Management (* (Not Available))Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 22822 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Stephen Michael Gannon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Stephen Michael Gannon, LADC1
117 Manchester St Ste 5a,
Concord, NH 03301-5101

Ph: (603) 606-9357
Mr Stephen Michael Gannon, LADC1
117 Manchester St Ste 5a,
Concord, NH 03301-5101

Ph: (603) 606-9357

Reviews and Comments


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