Individual provider Active NPI

Nicole Sublette, LCMHC

  • Mental Health Counselor
  • Manchester, NH
National Provider Identifier
1639591852
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2067 Issued in NH
Practice address
66 Hanover St Ste 200
Manchester, NH 03101-2230
Phone
(603) 787-3140
NPI assigned
Jan 7, 2014
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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
Mental Health Counselor 101YM0800X 2067 NH Primary

Addresses

Primary practice location

66 Hanover St Ste 200
Manchester, NH 03101-2230

Mailing address

66 Hanover St Ste 200
Manchester, NH 03101-2230
Phone (603) 787-3140

Other names 1

  • Nicole Sublette Professional name

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
I20241112001368 NH Practitioner - Mental Health Counselor 5092249144 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
Nicole Sublette Counseling Services LLCGroup PAC ID 3274067327, 2 clinicians

Practice addresses (Care Compare)

66 Hanover St
Suite 200
Manchester, NH 03101-2230
Phone (603) 787-3151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole Sublette Counseling Services LLC Mental Health CurrentSince Nov 1, 2024 Accepting new patients

Locations

66 Hanover St
Ste 200
Manchester, NH 03101
Phone (603) 521-4911

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1639591852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 HANOVER ST STE 200",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012230",
            "telephone_number": "603-787-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 HANOVER ST STE 200",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012230",
            "telephone_number": "603-787-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBLETTE",
        "first_name": "NICOLE",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SUBLETTE",
            "credential": "MA, LCMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.