MEDICARE: THE COUNSELING CENTER OF NASHUA INC

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy
1	103TC1900X	Counseling Psychologist
2	103TF0200X	Forensic Psychologist
3	101YA0400X	Addiction (Substance Use Disorder) Counselor
4	103G00000X	Clinical Neuropsychologist
5	103TF0000X	Family Psychologist
6	103T00000X	Psychologist
7	103TA0700X	Adult Development & Aging Psychologist
8	103TC2200X	Clinical Child & Adolescent Psychologist
9	1041C0700X	Clinical Social Worker
10	101YP2500X	Professional Counselor
11	106H00000X	Marriage & Family Therapist
12	103TC0700X	Clinical Psychologist

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1144275389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE COUNSELING CENTER OF NASHUA INC

Provider Business Mailing Address
First Line	:	1 MAIN ST
Second Line	:
City	:	NASHUA
State	:	NH
Zip	:	03064-2716
Country	:	US
Telephone Number	:	603-883-0005
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MAIN ST
Second Line	:
City	:	NASHUA
State	:	NH
Zip	:	03064
Country	:	US
Telephone Number	:	603-883-0005
Fax Number	:	603-883-0007

Authorized Official
Title or Position	:	CHIEF LEGAL OFFICER
Name	:	RYAN PARDO
Credential	:
Telephone Number	:	425-279-8500

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	02/26/2026

24 CHARLOTTE AVE
NASHUA, NH
03064-1551

Practice Phone: 508-740-0391
Practice Fax: 508-657-8605