Tyler J Bristol, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1078 Issued in NH

Practice address

15 Prospect St.
Nashua, NH 03060-3990

Phone

(603) 889-6147

NPI assigned

Nov 5, 2014

Last updated

Nov 26, 2014By the provider in NPPES

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

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novus Vita Counseling PLLCGroup PAC ID 1254558711, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Novus Vita Counseling, PLLC

  • Clinical Psychologist
  • Manchester, NH
  • NPI 1497094296

  Mental Health

  Medicare reassignment Care Compare group NPD
• Community Council of Nashua NH, Inc.

  dba Greater Nashua Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nashua, NH
  • NPI 1770588444
  NPD (past)

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1720484694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PROSPECT ST.",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603990",
            "telephone_number": "603-889-6147",
            "fax_number": "603-883-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PROSPECT ST.",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603990",
            "telephone_number": "603-889-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOL",
        "first_name": "TYLER",
        "middle_name": "J",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "1078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Brickner, MS, CCC-SLP
• Bridge & Bloom Therapy and Consulting PLLC
• Dorinda Bridges, BS
• Matthew E Brier, M.D.
• Kaitlyn Elizabeth Brigham
• Lindsey Britten, PA-C
• Lindsey Ann Broadhurst
• Katherine Brock, MSN, APRN, PMHNP-BC
• Paul Broder, PH.D.
• Amanda Faith Brodeur

• Mental Health Counselor in Nashua, NH
• Providers in Nashua, 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 Nov 26, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.