| Pastoral Counseling Services-united Church Of Christ, Inc. | |
| 
					2013 Elm St Manning House Manchester NH 03104-2528  | |
| (603) 627-2702 | |
| (603) 627-3543 | 
| Full Name | Pastoral Counseling Services-united Church Of Christ, Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 2013 Elm St, Manchester, New Hampshire | 
| Authorized Official Name and Position | David B Reynolds (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 6036272702 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pastoral Counseling Services-united Church Of Christ, Inc. 2013 Elm St Manning House Manchester NH 03104-2528 Ph: (603) 627-2702  | Pastoral Counseling Services-united Church Of Christ, Inc. 2013 Elm St Manning House Manchester NH 03104-2528 Ph: (603) 627-2702  | 
| NPI Number | 1306934757 | 
|---|---|
| Provider Enumeration Date | 10/11/2006 | 
| Last Update Date | 01/08/2015 | 
| Medicare PECOS PAC ID | 2567442627 | 
|---|---|
| Medicare Enrollment ID | O20040721000465 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306934757 | NPI | - | NPPES | 
| 3075562 | Medicaid | NH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary | 
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary | 
| Provider Name | Kathleen M Regan | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1619252368 PECOS PAC ID: 4486648607 Enrollment ID: I20040412000806  | 
| Provider Name | Audrey A Watjen | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1225081409 PECOS PAC ID: 8820062292 Enrollment ID: I20040823000144  | 
| Provider Name | Carol Lee Hart | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1063449098 PECOS PAC ID: 5092612853 Enrollment ID: I20050720000760  | 
| Provider Name | Calvin R Genzel | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1386740744 PECOS PAC ID: 0345266888 Enrollment ID: I20060125000228  | 
| Provider Name | Emily B Geoghegan | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1477636546 PECOS PAC ID: 6709892227 Enrollment ID: I20060221000649  | 
| Provider Name | Susan M Gordon | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1730522913 PECOS PAC ID: 9931343795 Enrollment ID: I20130917000337  | 
| Provider Name | Sarah A Duffley | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1316371388 PECOS PAC ID: 8123254414 Enrollment ID: I20131114001353  | 
| Provider Name | Melissa M Grudinski | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1235618703 PECOS PAC ID: 4284985474 Enrollment ID: I20180927001422  | 
| Provider Name | Marissa L Labbe | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1811537889 PECOS PAC ID: 8921435702 Enrollment ID: I20200218001427  | 
| Provider Name | Jennifer Bernet | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1306391909 PECOS PAC ID: 5395172316 Enrollment ID: I20200303001634  | 
| Provider Name | Robert Allosso | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1578259933 PECOS PAC ID: 1254798036 Enrollment ID: I20230609001649  | 
| Provider Name | Jillian M Pelchat | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1518647254 PECOS PAC ID: 4789047937 Enrollment ID: I20230906000472  | 
| Provider Name | Judith F Kollmorgen | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1952081176 PECOS PAC ID: 3476916651 Enrollment ID: I20230906001440  | 
| Provider Name | Sarah Merrigan | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1497003313 PECOS PAC ID: 1759739840 Enrollment ID: I20231130000449  | 
| Provider Name | Juliane L Mcgovern | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1124400999 PECOS PAC ID: 2961845383 Enrollment ID: I20240213000894  | 
| Provider Name | Kevin Longo | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1285757930 PECOS PAC ID: 4183067564 Enrollment ID: I20240213003088  | 
| Provider Name | Kenneth Robertson | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1508405515 PECOS PAC ID: 5395180137 Enrollment ID: I20240301003588  | 
Holly Rioux Licsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Hanover St Ste 200, Manchester, NH 03101 Phone: 617-804-0948  | |
Home Base Collaborative Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Elm St Ste 2, Manchester, NH 03104 Phone: 603-998-5186  | |
The Lodge Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Knowlton St, Manchester, NH 03103 Phone: 603-493-2070  | |
Optimal Behavioral Health Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 835 Hanover St Ste 305, Manchester, NH 03104 Phone: 603-784-9012 Fax: 603-784-9012  | |
Elliot Professional Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Queen City Ave, Elliot Neurology Associates, Manchester, NH 03101 Phone: 603-669-0859 Fax: 603-644-3391  | |
Rtt Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1230 Elm St, Suite 103, Manchester, NH 03101 Phone: 603-668-6505 Fax: 603-622-0498  | |
Sky Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Bridge St, Suite 104, Manchester, NH 03101 Phone: 603-836-5767 Fax: 603-836-1105  |