Active NPI
Lindsay Brooke Tibbetts, LICSW
- Mental Health Counselor
- Manchester, NH
National Provider Identifier
1063722981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1486
- Practice address
- 141 Union St
Manchester, NH 03103-5563 - Phone
- (603) 625-0010
- NPI assigned
- Oct 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1486 | NH | Primary |
Addresses
Primary practice location
141 Union St
Manchester, NH 03103-5563
Mailing address
171 Ricker Rd
Loudon, NH 03307-0713
Phone (603) 491-2122
Other names 1
- Ms. Lindsay Brooke Morrison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1486 | NH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lindsay Tibbetts Counseling PLLC | Current | Accepting new patients | |
| C.R.E.a.T.E. Center for Expressive Arts,Therapy and Education,P.L.L.C. | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Loudon, NH
- NPI 1548911563
-
- Mental Health Counselor
- Manchester, NH
- NPI 1083944326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286928000000",
"number": "1063722981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 RICKER RD",
"city": "LOUDON",
"state": "NH",
"postal_code": "033070713",
"telephone_number": "603-491-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 UNION ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031035563",
"telephone_number": "603-625-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIBBETTS",
"first_name": "LINDSAY",
"middle_name": "BROOKE",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-13",
"last_updated": "2010-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "1486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSAY",
"last_name": "MORRISON",
"middle_name": "BROOKE",
"prefix": "MS.",
"credential": "LICSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.