Active NPI
Thisvi McCormick, LCMHC, MLADC
- Mental Health Counselor
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2251
- Practice address
- 32 Old Wellington Rd # 287
Manchester, NH 03104-4518 - Phone
- (603) 203-5478
- NPI assigned
- Jun 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 807 | NH | |
| Specialist | 174400000X | 807 | NH | |
| Mental Health Counselor | 101YM0800X | 2251 | NH | Primary |
Addresses
Primary practice location
32 Old Wellington Rd # 287
Manchester, NH 03104-4518
Mailing address
32 Old Wellington Rd # 287
Manchester, NH 03104-4518
Phone (603) 203-5478
Other practice location 1
1465 Hooksett Rd
287
Hooksett, NH 03106-1860
Phone (603) 225-2711
Other practice location 2
100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500
Other names 1
- Thisvi McCormick
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 807 | NH | MD | Clinical Psychologist |
| 2251 | NH | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients |
Locations
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lebanon, NH
- NPI 1124681846
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1245525609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 OLD WELLINGTON RD # 287",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031044518",
"telephone_number": "603-203-5478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 OLD WELLINGTON RD # 287",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031044518",
"telephone_number": "603-203-5478"
}
],
"practiceLocations": [
{
"address_1": "1465 Hooksett Rd",
"address_2": "287",
"address_purpose": "LOCATION",
"city": "Hooksett",
"state": "NH",
"postal_code": "031061860",
"country_code": "US",
"telephone_number": "603-225-2711",
"fax_number": "603-227-7169",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Hitchcock Way",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031044125",
"country_code": "US",
"telephone_number": "603-695-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCORMICK",
"first_name": "THISVI",
"credential": "LCMHC, MLADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NH",
"license": "807",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NH",
"license": "807",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "2251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THISVI",
"last_name": "MCCORMICK",
"credential": "LCMHC, MLADC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.