Brian Scott Tobin, LCMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

068.0134271 Issued in VT

Practice address

291 Bostwick Farm Road
Shelburne, VT 05482

Phone

(802) 332-5566

NPI assigned

Nov 23, 2020

Last updated

Oct 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 14, 2024 through Mar 14, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brian Tobin, Lcmhc, LLC

  • Counselor
  • Shelburne, VT
  • NPI 1245834159
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1194329078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 584",
            "city": "HINESBURG",
            "state": "VT",
            "postal_code": "054610584",
            "telephone_number": "802-249-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 BOSTWICK FARM ROAD",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "05482",
            "telephone_number": "802-332-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-23",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VT",
            "license": "068.0134271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori-Ann Szczepaniak
• Tamarack Integrative Psychiatry PLLC (Tamarack Psychiatry)
• Teresa Yandow, LLC
• The Philo Center for Sensory Based Evalutaion and Treatment, Inc. (The Philo Center)
• Janessa Lee Thompson
• Gregory Tovella, MA
• Town of Shelburne (Shelburne Rescue Squad)
• Matthew Tucker
• Rajendra Vaghasiya
• George Vana, MD

• Counselor in Shelburne, VT
• Providers in Shelburne, VT by specialty
• Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.