NPIMap

Organization Active NPI

Counter Balance

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, VT
National Provider Identifier
1003315177
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
0890114807 Issued in VT
Legal business name
COUNTER BALANCE
Practice address
56 Main St Ste 212
Springfield, VT 05156-2945
Phone
(802) 692-0697
NPI assigned
Feb 5, 2018
Last updated
Feb 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vincent Buckholz, LICSWNPI 1972036432
Title
Owner
Phone
(802) 692-0697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 0890114807 VT Primary

Addresses

Primary practice location

56 Main St Ste 212
Springfield, VT 05156-2945

Mailing address

56 Main St Ste 212
Springfield, VT 05156-2945
Phone (802) 692-0697

Other identifiers 1

IdentifierTypeStateIssuer
1030150MedicaidVT

National Provider Directory

National Provider Directory
Tax ID family
Counter Balance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

56 Main St
Ste 212
Springfield, VT 05156
Phone (802) 674-6065

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1003315177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 MAIN ST STE 212",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562945",
            "telephone_number": "802-692-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MAIN ST STE 212",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562945",
            "telephone_number": "802-692-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTER BALANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "BUCKHOLZ",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-692-0697",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VT",
            "license": "0890114807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030150",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.