Provider Demographics
NPI:1316744600
Name:PIETRANTONIO, BARRY (MA, LCMHC)
Entity type:Individual
Prefix:MR
First Name:BARRY
Middle Name:
Last Name:PIETRANTONIO
Suffix:
Gender:
Credentials:MA, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-3196
Mailing Address - Country:US
Mailing Address - Phone:603-912-4490
Mailing Address - Fax:603-824-6935
Practice Address - Street 1:155 MAIN ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-3196
Practice Address - Country:US
Practice Address - Phone:603-912-4490
Practice Address - Fax:603-824-6935
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4908101YA0400X, 101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional