Active NPI
Thomas Weyers Wilkins, LCMHC
- Mental Health Counselor
- Bradford, NH
National Provider Identifier
1588992689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 638
- Practice address
- 3103 State Route 114
Bradford, NH 03221-3715 - Phone
- (603) 938-6019
- NPI assigned
- Dec 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 638 | NH | Primary |
Addresses
Primary practice location
3103 State Route 114
Bradford, NH 03221-3715
Mailing address
3103 State Route 114
Bradford, NH 03221-3715
Phone (603) 938-6019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 638 | NH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1588992689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3103 STATE ROUTE 114",
"city": "BRADFORD",
"state": "NH",
"postal_code": "032213715",
"telephone_number": "603-938-6019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3103 STATE ROUTE 114",
"city": "BRADFORD",
"state": "NH",
"postal_code": "032213715",
"telephone_number": "603-938-6019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "THOMAS",
"middle_name": "WEYERS",
"name_prefix": "Mr.",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-01",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.