Individual provider Active NPI

Jeff Pickett, MA, NCC, LCMHC

  • Mental Health Counselor
  • Laconia, NH
National Provider Identifier
1770102006
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4891 Issued in NH
Practice address
39 Breckenridge Way Unit 1
Laconia, NH 03246-4020
Phone
(978) 295-1585
NPI assigned
Apr 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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 4891 NH Primary

Addresses

Primary practice location

39 Breckenridge Way Unit 1
Laconia, NH 03246-4020

Mailing address

39 Breckenridge Way Unit 1
Laconia, NH 03246-4020
Phone (978) 295-1585

Other practice location 1

396 Whittier Hwy Unit 7
Moultonborough, NH 03254-3693
Phone (603) 787-3018

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4891NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
And Then There Is You PLLC CurrentSince Aug 1, 2023 Accepting new patients
Action With Purpose Wellness & Counseling, P.L.L.C. Mental Health Current Accepting new patients
And Then There Is You for North Florida PLLC PastSince Aug 1, 2023 Accepting new patients

Locations

396 Whittier Hwy
Unit 7
Moultonborough, NH 03254
Phone (603) 787-3018

Organizations & group practices 3

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": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1770102006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BRECKENRIDGE WAY UNIT 1",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032464020",
            "telephone_number": "978-295-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BRECKENRIDGE WAY UNIT 1",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032464020",
            "telephone_number": "978-295-1585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "396 Whittier Hwy Unit 7",
            "address_purpose": "LOCATION",
            "city": "Moultonborough",
            "state": "NH",
            "postal_code": "032543693",
            "country_code": "US",
            "telephone_number": "603-787-3018",
            "fax_number": "603-386-6002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "JEFF",
        "credential": "MA, NCC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "4891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.