Individual provider Active NPI

Thomas Manford Reichheld, LCMHC

  • Mental Health Counselor
  • Wolfeboro Falls, NH
National Provider Identifier
1194860122
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
101 Issued in NH
Practice address
35 Center St
The Office
Wolfeboro Falls, NH 03896-9998
Phone
(603) 569-5818
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 101 NH Primary

Addresses

Primary practice location

35 Center St
The Office
Wolfeboro Falls, NH 03896-9998

Mailing address

PO Box 122
Wolfeboro Falls, NH 03896-0122
Phone (603) 569-5818

Other identifiers 1

IdentifierTypeStateIssuer
30008612MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 21, 2024 through Feb 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101NHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194860122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "WOLFEBORO FALLS",
            "state": "NH",
            "postal_code": "038960122",
            "telephone_number": "603-569-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CENTER ST",
            "address_2": "THE OFFICE",
            "city": "WOLFEBORO FALLS",
            "state": "NH",
            "postal_code": "038969998",
            "telephone_number": "603-569-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHHELD",
        "first_name": "THOMAS",
        "middle_name": "MANFORD",
        "name_prefix": "Mr.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30008612",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolfeboro Falls, NH

Sources for this page

Verify at the official NPI Registry.