Individual provider Active NPI

Katharine Tierney Mable, MA

  • Mental Health Counselor
  • Saint Albans, VT
National Provider Identifier
1124179122
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0680057653 Issued in VT
Practice address
107 Fisher Pond Rd
Saint Albans, VT 05478-6286
Phone
(802) 393-6469
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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 0680057653 VT Primary

Addresses

Primary practice location

107 Fisher Pond Rd
Saint Albans, VT 05478-6286

Mailing address

107 Fisher Pond Rd
Saint Albans, VT 05478-6286
Phone (802) 393-6469

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250210001900 VT Practitioner - Mental Health Counselor 5092245829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Counseling and Support Services IncGroup PAC ID 3678545159, 14 clinicians

Practice addresses (Care Compare)

107 Fisher Pond Rd
Saint Albans, VT 05478-6286
Phone (802) 393-6412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0680057653VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Counseling & Support Services Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

107 Fisher Pond Rd
Saint Albans, VT 05478
Phone (802) 393-6412

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1124179122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FISHER POND RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054786286",
            "telephone_number": "802-393-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FISHER POND RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054786286",
            "telephone_number": "802-393-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABLE",
        "first_name": "KATHARINE",
        "middle_name": "TIERNEY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680057653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.