Timothy Wight, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

360 Route 101 Ste 13B
Bedford, NH 03110-5033

Phone

(603) 488-1773

Fax

(844) 907-2936

NPI assigned

Sep 21, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Collaborative Counseling Solutions PLLC

  • Community/Behavioral Health Agency
  • Bedford, NH
  • NPI 1952999831
  NPD Authorized official
• Child and Family Psychological Services, PLLC

  • Psychologist
  • Norwood, MA
  • NPI 1912987181

  Mental Health

  NPD

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663977600000",
    "number": "1487102224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 GRANITE ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021765801",
            "telephone_number": "617-771-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 ROUTE 101 STE 13B",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105033",
            "telephone_number": "603-488-1773",
            "fax_number": "844-907-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGHT",
        "first_name": "TIMOTHY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2022-09-24",
        "certification_date": "2022-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3136239",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanna White, CMHC
• Michelle Marie White, FNP-C
• Priscilla E White, M.S., CCC-SLP
• William White Jr., PA-C
• Kim Whitten
• Eric Wilcox, DPT
• Odessa Wildman
• Lisa M Williams, RN APRN
• Wendy Arleen Williams, LIC.AC., DIPL.AC.
• Ashley Williston

• Mental Health Counselor in Bedford, NH
• Providers in Bedford, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2022; 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.

Verify at the official NPI Registry.