Active NPI
Peter Michael Mahar, MS, LCMHC
- Mental Health Counselor
- Rutland, VT
National Provider Identifier
1063592517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068-0000394
- Practice address
- 128 Merchants Row
Office 602
Rutland, VT 05701-5909 - Phone
- (802) 773-1411
- Fax
- (802) 773-9811
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068-0000394 | VT | Primary |
Addresses
Primary practice location
128 Merchants Row
Office 602
Rutland, VT 05701-5909
Mailing address
PO Box 422
Castleton, VT 05735-0422
Phone (802) 773-1411
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080-38696 | Other | VT | BLUE CROSS BLUE SHIELD VT |
| 307092 | Other | VT | MAGELLAN |
| 61874 | Other | VT | MVP HEALTH CARE |
| 1007096 | Medicaid | VT | |
| 2039313 | Other | VT | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068-0000394 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063592517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 422",
"city": "CASTLETON",
"state": "VT",
"postal_code": "057350422",
"telephone_number": "802-773-1411",
"fax_number": "802-773-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 MERCHANTS ROW",
"address_2": "OFFICE 602",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057015909",
"telephone_number": "802-773-1411",
"fax_number": "802-773-9811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAR",
"first_name": "PETER",
"middle_name": "MICHAEL",
"credential": "MS, LCMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068-0000394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD VT",
"identifier": "080-38696",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "307092",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "61874",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007096",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2039313",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.