Magnolia Counseling Solutions, PLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAGNOLIA COUNSELING SOLUTIONS, PLC

Practice address

312 Rockydale Rd
Bristol, VT 05443-5247

Phone

(802) 782-2426

Fax

(802) 304-5787

NPI assigned

Sep 26, 2024

Last updated

Sep 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ellen Repstad, LICSWNPI 1881225258

Title

Owner

Phone

(802) 782-2426

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

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.

• Ellen Repstad, MSW

  • Clinical Social Worker
  • Bristol, VT
  • NPI 1881225258
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1013734342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 ROCKYDALE RD",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054435247",
            "telephone_number": "802-782-2426",
            "fax_number": "802-304-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 ROCKYDALE RD",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054435247",
            "telephone_number": "802-782-2426",
            "fax_number": "802-304-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA COUNSELING SOLUTIONS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "REPSTAD",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-782-2426",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lynn Livingston, P.T., D.P.T
• Kelsey Cathcart Lopez, APRN
• Hannah Lucarelli
• Paula Lupinetti-Chadwick, LCSW
• Helen M. Maciejewski
• Shawn R May, PA
• Donna Mergel
• Nancy J Miller, LCMHC
• Molly Milliken, LICSW
• Megan Morrison, DMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bristol, VT
• Providers in Bristol, VT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.