Individual ProviderRachel CanovaCounselorBehavioral Health & Social Service ProvidersPractice Address201 Riverway Pl, Bedford, NH 03110-6763(603) 668-8400PECOS EnrollmentBased on the most recent information from CMS, provider Rachel Canova is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1396047510Provider TypeIndividualFull NameCanova, RachelCredentialLCMHCGenderFemaleSole ProprietorYesEnumeration Date11/19/2010Last Updated9/26/2022Contact InformationPractice LocationPractice Address201 Riverway Pl, Bedford, NH 03110-6763Phone(603) 668-8400Fax(603) 626-7368Mailing LocationMailing Address201 Riverway Pl, Bedford, NH 03110-6763Phone(603) 668-8400Fax(603) 626-7368Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense1153New HampshireCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID3102725DescriptionMedicaidIssuerUnlistedNew Hampshire