MARY CROASDALE
NPI 1790934719
Counselor in Conway, NH

Active since September 15, 2008PECOS EnrolledAccepts Medicare Assignment
25 W MAIN ST, CONWAY, NH 03818(603) 447-2111 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Croasdale NPPES

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

MARY CROASDALE (NPI 1790934719) is an individual counselor in Conway, New Hampshire and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1790934719
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMARY CROASDALE
Location Address25 W MAIN STConway, NH 03818-6142
Mailing Address87 Washington StConway, NH 03818-6044 · (603) 447-3347
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 15, 2008
NPI 1790934719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
25 W MAIN ST, Conway, NH 03818

Other Identifiers 2

Other7706638Y0NH01NH · Anthem
Medicaid81263824NH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Croasdale is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103267497
PECOS Enrollment IDI20240517001366
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Social Worker
25 W MAIN ST
CONWAY, NH 03818
Social Worker
25 W MAIN ST
CONWAY, NH 03818
Social Worker
25 W MAIN ST
CONWAY, NH 03818
Social Worker
25 W MAIN ST
CONWAY, NH 03818
Social Worker
25 W MAIN ST
CONWAY, NH 03818
Social Worker (Clinical)
25 W MAIN ST
CONWAY, NH 03818
Registered Nurse
25 W MAIN ST
CONWAY, NH 03818
Marriage & Family Therapist
25 W MAIN ST
CONWAY, NH 03818

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 Mary Croasdale's NPI number?

The NPI number for Mary Croasdale is 1790934719. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Mary Croasdale located?

Mary Croasdale practices at 25 W Main St, Conway, NH 03818. The listed phone number is (603) 447-2111.

What is Mary Croasdale's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Mary Croasdale enrolled in Medicare?

Yes. Mary Croasdale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Croasdale accept?

Health plans from WellSense Health Plan list Mary Croasdale 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 Mary Croasdale was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.