Individual provider Active NPI

Clifford Bibeau, M.A., LCMHC

  • Mental Health Counselor
  • Nashua, NH
National Provider Identifier
1508217340
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
45 High St
Nashua, NH 03060-3312
Phone
(603) 205-3623
NPI assigned
Jun 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

45 High St
Nashua, NH 03060-3312

Mailing address

186 Ash St
Nashua, NH 03060-6456
Phone (603) 205-3623

Other practice location 1

400 Amherst St Ste 200
Nashua, NH 03063-4223
Phone (603) 205-3623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240206003324 NH Practitioner - Mental Health Counselor 4082057138 Reassigns benefits to 2 organizations
I20260626004424 MA Practitioner - Mental Health Counselor 4082057138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wanderlust Therapeutic Services PLLCGroup PAC ID 7012322753, 13 clinicians

Practice addresses (Care Compare)

400 Amherst St
Suite 200
Nashua, NH 03063-4223
Phone (603) 889-3553

60 Fletcher St
Suite 201
Lowell, MA 01854-4312
Phone (603) 889-3553

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Homes, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Wanderlust Therapeutic Services, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Harbor Homes, Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients
South Bay Mental Health Center, Inc. PastSince Sep 27, 2019 Accepting new patients

Locations

60 Fletcher St
Ste 201
Lowell, MA 01854
Phone (603) 889-3553

615 Amherst St
Nashua, NH 03063
Phone (603) 821-7788

77 Northeastern Blvd
Nashua, NH 03062
Phone (603) 882-3616

77 Northeastern Blvd
Ste C
Nashua, NH 03062

400 Amherst St
Ste 200
Nashua, NH 03063
Phone (603) 205-3623

45 High St
Nashua, NH 03060
Phone (603) 821-7788

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1508217340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 ASH ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030606456",
            "telephone_number": "603-205-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HIGH ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603312",
            "telephone_number": "603-205-3623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Amherst St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030634223",
            "country_code": "US",
            "telephone_number": "603-205-3623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIBEAU",
        "first_name": "CLIFFORD",
        "credential": "M.A., LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.