Ian Andrew Hibbert

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

81 Bridge St Ste 215
Lowell, MA 01852-1270

Phone

(978) 459-2306

NPI assigned

Aug 28, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Comprehensive Health Services, LLC

  • Multi-Specialty Clinic/Center
  • Lowell, MA
  • NPI 1174650907

  Mental Health

  NPD
• Comprehensive Health Services LLC

  • Professional Counselor
  • Chelmsford, MA
  • NPI 1053786236

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1235787706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 CHESTNUT HILL AVE PH 4",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021354673",
            "telephone_number": "774-328-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 BRIDGE ST STE 215",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521270",
            "telephone_number": "978-459-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBERT",
        "first_name": "IAN",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hibberti@bc.edu",
            "affiliation": "N",
            "address_1": "163 Chestnut Hill Ave Ph 4",
            "city": "Brighton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021354673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charlotte C Herrmann, LICSW
• Holly A Hession, RPH
• Renee Sarah Heusser, LICSW
• Kevin Michael Hewitt, M.D.
• Deirdre R Hiam, NURSE PRACTITIONER
• Rachelle Hiciano
• Gerardine Hickey, MA
• Leidy Manuela Hidalgo de Leon
• Hiep D. Nguyen, M.D., P.C
• Kelly Higgins

• All providers in Lowell, MA
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.