Individual provider Active NPI

Kristen R Lococo, LCMHC

  • Mental Health Counselor
  • St. Albans, VT
National Provider Identifier
1114083698
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068-0000244 Issued in VT
Practice address
12 Fairfield Hill Road
St. Albans, VT 05478
Phone
(802) 524-1700
Fax
(802) 524-1777
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068-0000244 VT Primary

Addresses

Primary practice location

12 Fairfield Hill Road
St. Albans, VT 05478

Mailing address

12 Fairfield Hill Rd
Saint Albans, VT 05478-9634
Phone (802) 524-1700

Other identifiers 9

IdentifierTypeStateIssuer
28703OtherVTBCBS
991062OtherVTMVP
115274OtherVTTEAMSTERS
151960000OtherVTMEGELLAN
246067421OtherVTUBH
1007560MedicaidVT
21219205781OtherVTBEECH STREET
094408OtherVTOPTIONS
1060059OtherVTCIGNA

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

State licenses

LicenseStateTypeSpecialty
068-0000244VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nfi Vermont, Inc PastSince Jan 9, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1114083698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FAIRFIELD HILL RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054789634",
            "telephone_number": "802-524-1700",
            "fax_number": "802-524-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 FAIRFIELD HILL ROAD",
            "city": "ST. ALBANS",
            "state": "VT",
            "postal_code": "05478",
            "telephone_number": "802-524-1700",
            "fax_number": "802-524-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCOCO",
        "first_name": "KRISTEN",
        "middle_name": "R",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28703",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "991062",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEAMSTERS",
            "identifier": "115274",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEGELLAN",
            "identifier": "151960000",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "246067421",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007560",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "21219205781",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIONS",
            "identifier": "094408",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1060059",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.