Individual provider Active NPI

Elizabeth E Thompson, LCMHC

  • Mental Health Counselor
  • Berlin, VT
National Provider Identifier
1003504887
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0135232 Issued in VT
Practice address
174 Hospital Loop
Berlin, VT 05602-9105
Phone
(802) 479-4083
Fax
(802) 479-1476
NPI assigned
Apr 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0135232 VT Primary

Addresses

Primary practice location

174 Hospital Loop
Berlin, VT 05602-9105

Mailing address

174 Hospital Loop
Berlin, VT 05602-9105
Phone (802) 479-4083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201003260 VT Practitioner - Mental Health Counselor 8628421021 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068.0135232VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Mental Health Services, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Washington County Mental Health Services, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

579 S Barre Rd
Barre, VT 05641
Phone (802) 476-1480

174 Hospital Loop
Berlin, VT 05602
Phone (802) 223-6328

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1003504887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 HOSPITAL LOOP",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029105",
            "telephone_number": "802-479-4083",
            "fax_number": "802-479-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 HOSPITAL LOOP",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029105",
            "telephone_number": "802-479-4083",
            "fax_number": "802-479-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ELIZABETH",
        "middle_name": "E",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0135232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

Verify at the official NPI Registry.