Active NPI
Doris Theberge, M.A.,LCMHC
- Mental Health Counselor
- Gilford, NH
National Provider Identifier
1922400779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 447
- Practice address
- 57 Sand Hill Rd
Gilford, NH 03249-6969 - Phone
- (603) 998-4350
- NPI assigned
- Sep 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 447 | NH | Primary |
Addresses
Primary practice location
57 Sand Hill Rd
Gilford, NH 03249-6969
Mailing address
57 Sand Hill Rd
Gilford, NH 03249-6969
Phone (603) 998-4350
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 |
|---|---|---|---|
| 447 | NH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1922400779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 SAND HILL RD",
"city": "GILFORD",
"state": "NH",
"postal_code": "032496969",
"telephone_number": "603-998-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 SAND HILL RD",
"city": "GILFORD",
"state": "NH",
"postal_code": "032496969",
"telephone_number": "603-998-4350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEBERGE",
"first_name": "DORIS",
"credential": "M.A.,LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-24",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.