Active NPI
Jeff Pickett, MA, NCC, LCMHC
- Mental Health Counselor
- Laconia, NH
National Provider Identifier
1770102006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4891
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4891 | NH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| And Then There Is You PLLC | Current | 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 | Past | 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.
-
- Mental Health Counselor
- Newbury, NH
- NPI 1619779212
-
- Marriage & Family Therapist
- Moultonborough, NH
- NPI 1306536594
-
- Multi-Specialty Clinic/Center
- St Augustine, FL
- NPI 1093510422
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.