JONATHAN THIBAULT
NPI 1679151286
Counselor - Mental Health in Brockton, MA

Active since April 02, 2021
56 CHERRY ST, BROCKTON, MA 02301(508) 580-0801 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 1, 2024, Apr 2, 2021 (2 updates tracked since 2021).

About Jonathan Thibault NPPES

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

JONATHAN THIBAULT (NPI 1679151286) is an individual mental health provider in Brockton, Massachusetts and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1679151286
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJONATHAN THIBAULT
Location Address56 CHERRY STBrockton, MA 02301-2608
Mailing Address117 Eastman StSouth Easton, MA 02375-1363
Sole ProprietorNo
Enumeration DateApril 2, 2021
Last NPPES UpdateMay 1, 20242 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
NPI 1679151286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
56 CHERRY ST, Brockton, MA 02301

Accepted Insurance

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.

Case Manager/Care Coordinator
56 CHERRY ST
BROCKTON, MA 02301
Social Worker (Clinical)
56 CHERRY ST
BROCKTON, MA 02301
Counselor
56 CHERRY ST
BROCKTON, MA 02301
Social Worker
56 CHERRY ST
BROCKTON, MA 02301
Counselor (Mental Health)
56 CHERRY ST
BROCKTON, MA 02301
Counselor (Mental Health)
56 CHERRY ST
BROCKTON, MA 02301
Counselor
56 CHERRY ST, 3RD FLOOR
BROCKTON, MA 02301
Social Worker
56 CHERRY ST
BROCKTON, MA 02301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679151286, enumerated as an "individual" on April 02, 2021.

The provider is located at 56 CHERRY ST BROCKTON, MA 02301 and the phone number is (508) 580-0801.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to verify.