Patricia Petraro, LCMHC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0135793 Issued in VT

Practice address

1794 Loop Rd
Northfield, VT 05663-6057

Phone

(347) 804-1550

NPI assigned

Apr 12, 2024

Last updated

Apr 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1104670678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1794 LOOP RD",
            "city": "NORTHFIELD",
            "state": "VT",
            "postal_code": "056636057",
            "telephone_number": "347-804-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1794 LOOP RD",
            "city": "NORTHFIELD",
            "state": "VT",
            "postal_code": "056636057",
            "telephone_number": "347-804-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRARO",
        "first_name": "PATRICIA",
        "credential": "LCMHC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151.0134151",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0135793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah M O Hara, PA C
• Jennifer O'Dell, LCMHC
• Janine Ann Osterman, ATC
• Erin Palmer, LCMHC, NCC
• Marcella M Pelkey, OT
• Nicole Marie Pettersen, PMHNP
• Mary Kelly Pinkans, P.T.
• Rebecca Pressman, MSW
• Christine Dara Reyes, PHD, LAT, ATC
• Kendra Roby

• Mental Health Counselor in Northfield, VT
• Providers in Northfield, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.