Northeast Kingdom Council on Aging

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NORTHEAST KINGDOM COUNCIL ON AGING

Practice address

481 Summer St Ste 101
Saint Johnsbury, VT 05819-2103

Phone

(802) 748-5182

Fax

(802) 748-6622

NPI assigned

May 6, 2016

Last updated

May 6, 2016By 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

Ms. Deborah Rousseau Rousseau

Title

Director of Case Management

Phone

(802) 748-5182

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1104272343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 SUMMER ST STE 101",
            "city": "SAINT JOHNSBURY",
            "state": "VT",
            "postal_code": "058192103",
            "telephone_number": "802-748-5182",
            "fax_number": "802-748-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 SUMMER ST STE 101",
            "city": "SAINT JOHNSBURY",
            "state": "VT",
            "postal_code": "058192103",
            "telephone_number": "802-748-5182",
            "fax_number": "802-748-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST KINGDOM COUNCIL ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "ROUSSEAU",
        "authorized_official_first_name": "DEBORAH ROUSSEAU",
        "authorized_official_title_or_position": "DIRECTOR OF CASE MANAGEMENT",
        "authorized_official_telephone_number": "802-748-5182",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W003",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Case Management Agency in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.