MEDICARE: ASTERROOT WELLNESS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1346170917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASTERROOT WELLNESS PLLC

Provider Business Mailing Address
First Line	:	9 MAIN ST UNIT 74
Second Line	:
City	:	ATKINSON
State	:	NH
Zip	:	03811-2804
Country	:	US
Telephone Number	:	603-314-3040
Fax Number	:	978-234-4077

Provider Business Practice Location Address
First Line	:	9 MAIN ST UNIT 74
Second Line	:
City	:	ATKINSON
State	:	NH
Zip	:	03811-2804
Country	:	US
Telephone Number	:	603-314-3040
Fax Number	:	978-234-4077

Authorized Official
Title or Position	:	PARTNER
Name	:	ASHLEY RAYMOND
Credential	:	MS, LCMHC
Telephone Number	:	603-314-3040

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

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