Individual provider Active NPI

Phoebe Manchester, MS, LCMHC

  • Mental Health Counselor
  • Hanover, NH
National Provider Identifier
1780272468
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2328 Issued in NH
Practice address
12 South St Ste 2D
Hanover, NH 03755-2163
Phone
(603) 276-0721
Fax
(844) 205-7844
NPI assigned
Jan 7, 2021
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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 2328 NH Primary

Addresses

Primary practice location

12 South St Ste 2D
Hanover, NH 03755-2163

Mailing address

12 South St Ste 2D
Hanover, NH 03755-2163
Phone (603) 276-0721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 4, 2024 through Mar 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2328NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Treadwell Counseling, PLLC Mental Health CurrentSince May 7, 2023 Accepting new patients
Counseling Associates of New London PLLC Mental Health PastSince Jan 1, 2021 Accepting new patients
Bodhi Counseling Services LLC Mental Health PastSince May 7, 2023 Accepting new patients

Locations

12 South St
Ste 2D
Hanover, NH 03755
Phone (603) 255-3877

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, 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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1780272468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SOUTH ST STE 2D",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552163",
            "telephone_number": "603-276-0721",
            "fax_number": "844-205-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SOUTH ST STE 2D",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552163",
            "telephone_number": "603-276-0721",
            "fax_number": "844-205-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHESTER",
        "first_name": "PHOEBE",
        "credential": "MS, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, NH

Sources for this page

Verify at the official NPI Registry.