Individual provider Active NPI

Felicity Bernard, MA, LCMHC

  • Mental Health Counselor
  • Manchester, NH
National Provider Identifier
1457597288
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1128 Issued in NH
Practice address
25 Sundial Ave Ste 310W
Manchester, NH 03103-7244
Phone
(603) 634-9471
Fax
(603) 676-2173
NPI assigned
Dec 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC6673 ME
Mental Health Counselor 101YM0800X 1128 NH Primary

Addresses

Primary practice location

25 Sundial Ave Ste 310W
Manchester, NH 03103-7244

Mailing address

25 Sundial Ave Ste 310W
Manchester, NH 03103-7244
Phone (603) 634-9471

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
I20240104001587 NH Practitioner - Mental Health Counselor 4082060132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jtsj1 Enterprises LLCGroup PAC ID 9537515689, 8 clinicians

Practice addresses (Care Compare)

25 Sundial Ave
Suite 310W
Manchester, NH 03103-7244
Phone (603) 634-9471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Jtsj1 Enterprises LLC Mental Health CurrentSince Oct 10, 2023 Accepting new patients

Locations

166 S River Rd
Ste 220
Bedford, NH 03110
Phone (603) 836-4112

25 Sundial Ave
Ste 310W
Manchester, NH 03103
Phone (603) 634-9471

Organizations & group practices 1

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": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1457597288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SUNDIAL AVE STE 310W",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031037244",
            "telephone_number": "603-634-9471",
            "fax_number": "603-676-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SUNDIAL AVE STE 310W",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031037244",
            "telephone_number": "603-634-9471",
            "fax_number": "603-676-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "FELICITY",
        "credential": "MA, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC6673",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "1128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.