NPIMap

Organization Active NPI

Brightleaf, Inc

  • Adult Mental Health Clinic/Center
  • Manchester, NH
National Provider Identifier
1306934757
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BRIGHTLEAF, INC
Practice address
2013 Elm St
Manning House
Manchester, NH 03104-2528
Phone
(603) 627-2702
Fax
(603) 627-3543
NPI assigned
Oct 11, 2006
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Calvin Genzel, PHDNPI 1386740744
Title
Executive Director
Phone
(603) 627-2702

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Social Worker 104100000X NU

Addresses

Primary practice location

2013 Elm St
Manning House
Manchester, NH 03104-2528

Mailing address

2013 Elm St
Manning House
Manchester, NH 03104-2528
Phone (603) 627-2702

Other identifiers 1

IdentifierTypeStateIssuer
3075562MedicaidNH

Other names 1

  • Pastoral Counseling Services UCC INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040721000465 NH Part B Supplier - Clinic/Group Practice 2567442627 Receives reassigned benefits from 11 practitioners
Practice locations: Nashua, NH; Manchester, NH; Exeter, NH; Bedford, NH

National Provider Directory

National Provider Directory
Tax ID family
Brightleaf Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4 Church Rd
Bedford, NH 03110
Phone (603) 627-2702

21 Front St
Exeter, NH 03833
Phone (603) 627-2702

2013 Elm St
Manchester, NH 03104
Phone (603) 627-2702

1 Concord St
Nashua, NH 03064
Phone (603) 627-2702

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1306934757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 ELM ST",
            "address_2": "MANNING HOUSE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042528",
            "telephone_number": "603-627-2702",
            "fax_number": "603-627-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 ELM ST",
            "address_2": "MANNING HOUSE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042528",
            "telephone_number": "603-627-2702",
            "fax_number": "603-627-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTLEAF, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "GENZEL",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-627-2702",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075562",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pastoral Counseling Services UCC INC",
            "code": "4",
            "type": "Former Legal Business 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 Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.