Individual provider Active NPI

Andrew Golibersuch, LMHC

  • Mental Health Counselor
  • Northampton, MA
National Provider Identifier
1225640204
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC10001098 Issued in MA
Practice address
19 Center CT Ste 1B
Northampton, MA 01060-3503
Phone
(413) 376-8002
NPI assigned
Aug 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 21-446
Mental Health Counselor 101YM0800X LMHC10001098 MA Primary

Addresses

Primary practice location

19 Center CT Ste 1B
Northampton, MA 01060-3503

Mailing address

19 Center CT Ste 1B
Northampton, MA 01060-3503
Phone (413) 376-8002

Other identifiers 3

IdentifierTypeStateIssuer
21-446OtherART THERAPY CREDENTIALS BOARD
LMHC10001098OtherMABOARD OF ALLIED MENTAL HEALTH AND HUMAN SERVICES PROFESSIONS
BC-TMH-3909OtherNATIONAL BOARD OF CERTIFIED COUNSELORS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Community Care, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

270 Bridge St
Ste 301
Dedham, MA 02026
Phone (617) 230-9905

6 Kimball Ln
Lynnfield, MA 01940
Phone (781) 213-4040

6 Kimball Ln
Ste 310
Lynnfield, MA 01940
Phone 7812462010 ext. 2086

190 Lenox St
Norwood, MA 02062
Phone (781) 769-8670

Organizations & group practices 1

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1225640204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CENTER CT STE 1B",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603503",
            "telephone_number": "413-376-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CENTER CT STE 1B",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603503",
            "telephone_number": "413-376-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLIBERSUCH",
        "first_name": "ANDREW",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "21-446",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10001098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ART THERAPY CREDENTIALS BOARD",
            "identifier": "21-446",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF ALLIED MENTAL HEALTH AND HUMAN SERVICES PROFESSIONS",
            "identifier": "LMHC10001098",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF CERTIFIED COUNSELORS",
            "identifier": "BC-TMH-3909",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.