Individual provider Active NPI

Lindsay Brooke Tibbetts, LICSW

  • Mental Health Counselor
  • Manchester, NH
National Provider Identifier
1063722981
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1486 Issued in NH
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

Updated by the provider on Oct 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
1486NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay Tibbetts Counseling PLLC CurrentSince Jan 21, 2022 Accepting new patients
C.R.E.a.T.E. Center for Expressive Arts,Therapy and Education,P.L.L.C. Mental Health PastSince Feb 11, 2013 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.

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.

Verify at the official NPI Registry.