NPIMap

Organization Active NPI

Northeast Kingdom Human Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newport, VT
National Provider Identifier
1043372709
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORTHEAST KINGDOM HUMAN SERVICES INC
Practice address
181 Crawford Rd
Newport, VT 05855-6405
Phone
(802) 334-6744
Fax
(802) 334-7455
NPI assigned
Dec 15, 2006
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Mr. Denis Houle, MA
Title
Chief Financial Officer
Phone
(802) 334-6744

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

181 Crawford Rd
Newport, VT 05855-6405

Mailing address

PO Box 724
Newport, VT 05855-0724
Phone (802) 334-6744

Other practice location 1

2225 Portland St
St Johnsbury, VT 05819-8635
Phone (802) 748-0215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041012001355 VT Part B Supplier - Clinic/Group Practice 0941276703 Receives reassigned benefits from 43 practitioners
Practice locations: Derby, VT; Saint Johnsbury, VT

National Provider Directory

National Provider Directory
Tax ID family
Northeast Kingdom Human Services Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

172 Bogner Dr
Newport, VT 05855
Phone (802) 334-5247

2225 Portland St
St Johnsbury, VT 05819
Phone (802) 748-3181

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1043372709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058550724",
            "telephone_number": "802-334-6744",
            "fax_number": "802-334-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 CRAWFORD RD",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058556405",
            "telephone_number": "802-334-6744",
            "fax_number": "802-334-7455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 Portland St",
            "address_purpose": "LOCATION",
            "city": "St Johnsbury",
            "state": "VT",
            "postal_code": "058198635",
            "country_code": "US",
            "telephone_number": "802-748-0215",
            "fax_number": "802-748-0704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHEAST KINGDOM HUMAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "HOULE",
        "authorized_official_first_name": "DENIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "802-334-6744",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.