Organization Active NPI

Brian Tobin, Lcmhc, LLC

  • Counselor
  • Shelburne, VT
National Provider Identifier
1245834159
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
BRIAN TOBIN, LCMHC, LLC
Practice address
291 Bostwick Farm Road
Shelburne, VT 05482
Phone
(802) 332-5566
NPI assigned
Nov 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Brian Tobin, LCMHCNPI 1194329078
Title
Member-
Phone
(802) 249-5896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

291 Bostwick Farm Road
Shelburne, VT 05482

Mailing address

PO Box 584
Hinesburg, VT 05461-0584
Phone (802) 249-5896

National Provider Directory

National Provider Directory

Locations

291 Bostwick Rd
Shelburne, VT 05482
Phone (802) 332-5566

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1245834159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 584",
            "city": "HINESBURG",
            "state": "VT",
            "postal_code": "054610584",
            "telephone_number": "802-249-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 BOSTWICK FARM ROAD",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "05482",
            "telephone_number": "802-332-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN TOBIN, LCMHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MEMBER-",
        "authorized_official_telephone_number": "802-249-5896",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelburne, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.