Individual provider Active NPI

Thisvi McCormick, LCMHC, MLADC

  • Mental Health Counselor
  • Manchester, NH
National Provider Identifier
1245525609
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2251 Issued in NH
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

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250311001254 NH Practitioner - Mental Health Counselor 9537680228 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
807NHMDClinical Psychologist
2251NHMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Jan 4, 2025 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jan 4, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jan 4, 2025 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.

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

Verify at the official NPI Registry.