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TRISTAN LEIBU
NPI 1285986307
Counselor - Mental Health in Brockton, MA

Active since October 12, 2012
1115 W CHESTNUT ST, BROCKTON, MA 02301(508) 580-4691 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tristan Leibu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRISTAN LEIBU (NPI 1285986307) is an individual mental health provider in Brockton, Massachusetts and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1285986307
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTRISTAN LEIBU
Location Address1115 W CHESTNUT STBrockton, MA 02301-7501
Mailing Address1115 W Chestnut StBrockton, MA 02301-7501 · (508) 580-4691
Phone(508) 580-4691
Sole ProprietorNo
Enumeration DateOctober 12, 2012
✔ NPI 1285986307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1115 W CHESTNUT ST, Brockton, MA 02301
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE SHAO
Physical Therapist
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
KATELIN ANN SWAN
Student in an Organized Health Care Education/Training Program
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
JENNA M MONACO
Social Worker (Clinical)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
MS. JILLIAN MARIE HAYDEN BA PSYCHOLOGY
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
MS. CAITLIN C EDELMAN M.A.
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
AMANDA EICK
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
REBECCA CLEGG
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
COURTNEY MAULEN
Occupational Therapist
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 559-0473

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tristan Leibu's NPI number?

The NPI number for Tristan Leibu is 1285986307. It was assigned to this individual provider in the NPPES registry on October 12, 2012.

Where is Tristan Leibu located?

Tristan Leibu practices at 1115 W Chestnut St, Brockton, MA 02301. The listed phone number is (508) 580-4691.

What is Tristan Leibu's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tristan Leibu was last updated on October 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.