Organization Active NPI

Forest Path Counseling, PLC

  • Clinical Social Worker
  • Montpelier, VT
National Provider Identifier
1043713522
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FOREST PATH COUNSELING, PLC
Practice address
100 State St Ste 502
Montpelier, VT 05602-4800
Phone
(802) 249-3481
NPI assigned
Mar 12, 2018
Last updated
Mar 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Authorized official

Name
Daniel George Guertin, LICSWNPI 1689774192
Title
Owner, Therapist
Phone
(802) 249-3481

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

100 State St Ste 502
Montpelier, VT 05602-4800

Mailing address

100 State St Ste 502
Montpelier, VT 05602-4800
Phone (802) 249-3481

Other identifiers 1

IdentifierTypeStateIssuer
1033249MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180620002435 VT Part B Supplier - Clinic/Group Practice 6204181977 Receives reassigned benefits from 1 practitioner
Practice locations: Montpelier, VT

National Provider Directory

National Provider Directory

Locations

100 State St
Ste 243
Montpelier, VT 05602
Phone (802) 249-3481

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": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1043713522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STATE ST STE 502",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056024800",
            "telephone_number": "802-249-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STATE ST STE 502",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056024800",
            "telephone_number": "802-249-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST PATH COUNSELING, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "GUERTIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "802-249-3481",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033249",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.