Individual provider Active NPI

Heather Lynn Sisemoore, LCMHC

  • Mental Health Counselor
  • Manchester, NH
National Provider Identifier
1649849449
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2350 Issued in NH
Practice address
141 Union St
Manchester, NH 03103-5563
Phone
(603) 625-0010
Fax
(603) 625-0075
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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 2350 NH Primary

Addresses

Primary practice location

141 Union St
Manchester, NH 03103-5563

Mailing address

140 Hopkinton Rd
Concord, NH 03301-7910
Phone (603) 918-6638

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

LicenseStateTypeSpecialty
2350NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
C.R.E.a.T.E. Center for Expressive Arts,Therapy and Education,P.L.L.C. Mental Health CurrentSince Jun 27, 2021 Accepting new patients
Bodhi Counseling Services LLC Mental Health Past Accepting new patients

Locations

141 Union St
Manchester, NH 03103
Phone (603) 625-0010

Organizations & group practices 2

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1649849449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HOPKINTON RD",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017910",
            "telephone_number": "603-918-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 UNION ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035563",
            "telephone_number": "603-625-0010",
            "fax_number": "603-625-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISEMOORE",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.