Active NPI
Kristen R Lococo, LCMHC
- Mental Health Counselor
- St. Albans, VT
National Provider Identifier
1114083698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068-0000244
- 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
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 | 068-0000244 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28703 | Other | VT | BCBS |
| 991062 | Other | VT | MVP |
| 115274 | Other | VT | TEAMSTERS |
| 151960000 | Other | VT | MEGELLAN |
| 246067421 | Other | VT | UBH |
| 1007560 | Medicaid | VT | |
| 21219205781 | Other | VT | BEECH STREET |
| 094408 | Other | VT | OPTIONS |
| 1060059 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068-0000244 | VT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nfi Vermont, Inc | Past | 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.
-
- Clinic/Center
- South Burlington, VT
- NPI 1497885107
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.