MR. GERALD W. THIBAULT (LCPC) – Professional Counselor, NPI 1083697270

MR. GERALD W. THIBAULT (LCPC) is a healthcare provider. based in Skowhegan, Maine. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. CC1829 (ME). The NPI Number for MR. GERALD W. THIBAULT (LCPC) is 1083697270

Main info

Male
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
MR. GERALD W. THIBAULT (LCPC)
NPI
1083697270
Phone
(207) 474-3477
Address
27 BEECH STREET
Enumeration Date
22 November 2005
Last Update Date
25 June 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2073333278
Graduation Year
1974 (52 years ago)
PAC ID
6002269123
Group Practice PAC ID
1951594076
Professional Enrollment ID
I20240125000522
Address ID
ME042103830AU306XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

362 MENTAL HEALTH COUNSELOR in ME

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Provider Addresses for MR. GERALD W. THIBAULT (LCPC)

  • 27, Beech Street, Skowhegan, Somerset County, Maine, 04976, United States

    SKOWHEGAN, ME 04976

    Phone: (207) 474-3477

    Type: Mailing

  • 157, Waterville Road, Skowhegan, Somerset County, Maine, 04976, United States

    SUITE 2

    SKOWHEGAN, ME 04976

    Phone: (207) 474-3477

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240125000522IMental Health CounselorMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04976)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951594076View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. GERALD W. THIBAULT (LCPC)?
MR. GERALD W. THIBAULT (LCPC) — NPI 1083697270 — is the standard way to identify this listing.
Does CMS list MR. GERALD W. THIBAULT (LCPC) as active?
Yes — MR. GERALD W. THIBAULT (LCPC) is active in the NPI listing used on this page.
What healthcare role does MR. GERALD W. THIBAULT (LCPC) hold?
Scheduling teams often label MR. GERALD W. THIBAULT (LCPC) under Professional Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect MR. GERALD W. THIBAULT (LCPC) on a map?
Expect Skowhegan, Maine as a primary anchor for MR. GERALD W. THIBAULT (LCPC) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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