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GREEN MOUNTAIN TREATMENT CENTER, LLC
NPI 1619335171
Substance Abuse Rehabilitation Facility in Effingham, NH

Active since January 29, 2016CLIA 30D0918806 · Waiver
244 HIGH WATCH RD, EFFINGHAM, NH 03882(603) 328-8601(303) 218-6887 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2022, Jan 29, 2016 (2 updates tracked since 2016).

About Green Mountain Treatment Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN MOUNTAIN TREATMENT CENTER, LLC (NPI 1619335171) is a healthcare organization registered as a substance abuse rehabilitation facility in Effingham, New Hampshire and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through August 20, 2026 and lists Tammy Quattrocchi, Director Of Compliance, as its authorized official.

NPPES Registry Identity

NPI1619335171
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameGREEN MOUNTAIN TREATMENT CENTER, LLC
Location Address244 HIGH WATCH RDEffingham, NH 03882-8336
Mailing Address6 Manor PkwySalem, NH 03079-2841 · (603) 328-8601 · Fax (603) 218-6887
Phone(603) 328-8601
Fax(303) 218-6887
Organization SubpartNo
Authorized OfficialTammy QuattrocchiDirector Of Compliance · (603) 328-8601
Enumeration DateJanuary 29, 2016
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
✔ NPI 1619335171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in NH · 04133
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
244 HIGH WATCH RD, Effingham, NH 03882
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 30D0918806

Green Mountain Treatment Center · Effingham, NH
Active · expires Aug 20, 2026
CLIA Number30D0918806
Laboratory TypeAddiction Treatment
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorMichael Bell
Laboratory Phone(603) 328-8601
Laboratory LocationGreen Mountain Treatment Center244 Highwatch Rd, Effingham, NH 03882
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKEVIEW HEALTHCARE
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
244 HIGH WATCH RD
EFFINGHAM, NH 03882
Carroll County (603) 539-7451
HEIDI M RITTER CRNP
Nurse Practitioner (Adult Health)
244 HIGH WATCH RD
EFFINGHAM, NH 03882
Carroll County (855) 620-1440
AMY L HEFFERNAN
Student in an Organized Health Care Education/Training Program
244 HIGH WATCH RD
EFFINGHAM, NH 03882
Carroll County (866) 652-8889
JESSICA RIVET
Nurse Practitioner (Psychiatric/Mental Health)
244 HIGH WATCH RD
EFFINGHAM, NH 03882
Carroll County (866) 652-8889
KATHLEEN L. BURKE LADC
Counselor (Addiction (Substance Use Disorder))
244 HIGH WATCH RD
EFFINGHAM, NH 03882
Carroll County (855) 906-3688
MS. KELLY BALDWIN LCMHC
Counselor (Mental Health)
244 HIGH WATCH RD
EFFINGHAM, NH 03882
Carroll County (603) 230-2448
MR. WILLIAM PIERS KANIUKA MA, MTS
Counselor (Professional)
244 HIGH WATCH RD
EFFINGHAM, NH 03882
Carroll County (603) 539-8808
SARAH MACKENZIE APRN
Nurse Practitioner
244 HIGH WATCH RD
EFFINGHAM, NH 03882
Carroll County (866) 652-8889

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Green Mountain Treatment Center, LLC's NPI number?

The NPI number for Green Mountain Treatment Center, LLC is 1619335171. It was assigned to this organization in the NPPES registry on January 29, 2016.

Where is Green Mountain Treatment Center, LLC located?

Green Mountain Treatment Center, LLC is located at 244 High Watch Rd, Effingham, NH 03882. The listed phone number is (603) 328-8601.

What is Green Mountain Treatment Center, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Green Mountain Treatment Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D0918806) is associated with this NPI, valid through August 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Green Mountain Treatment Center, LLC accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Green Mountain Treatment Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Green Mountain Treatment Center, LLC was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.