Individual provider Active NPI

Lili Antoinette Wierbonics, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Portsmouth, NH
National Provider Identifier
1174690259
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
053156-23 Issued in NH
Practice address
539 Islington St Ste 4
Portsmouth, NH 03801-4471
Phone
(603) 883-0005
Fax
(603) 883-0007
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 053156-21 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 053156-23 NH Primary

Addresses

Primary practice location

539 Islington St Ste 4
Portsmouth, NH 03801-4471

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (603) 883-0005

Other practice location 1

330 Borthwick Ave
Suite 202
Portsmouth, NH 03801-4174
Phone (603) 436-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250904003175 NH Practitioner - Nurse Practitioner 8527560036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Counseling Center of Nashua IncGroup PAC ID 3274523758, 250 clinicians

Practice addresses (Care Compare)

539 Islington St
Suite 4
Portsmouth, NH 03801-4471
Phone (603) 883-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053156-21NHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center of Nashua Inc CurrentSince Aug 10, 2025 Accepting new patients
Pediatric Associates of Hampton & Portsmouth, P.C. Past Accepting new patients
Pediatric Associates of Hampton & Portsmouth PC Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

24 Front St
Exeter, NH 03833
Phone (603) 772-3900

24 Front St
Ste 100
Exeter, NH 03833
Phone (603) 713-5657

539 Islington St
Ste 4
Portsmouth, NH 03801
Phone (603) 427-6565

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.liliwierbonics@140126.advancedmd-direct.com

Organizations & group practices 3

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1174690259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "603-883-0005",
            "fax_number": "603-883-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 ISLINGTON ST STE 4",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014471",
            "telephone_number": "603-883-0005",
            "fax_number": "603-883-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Borthwick Ave",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038014174",
            "country_code": "US",
            "telephone_number": "603-436-7171",
            "fax_number": "603-433-5931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIERBONICS",
        "first_name": "LILI",
        "middle_name": "ANTOINETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "053156-21",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "053156-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.