Individual provider Active NPI

Matthew H Renaud, LCMHC

  • Mental Health Counselor
  • Danville, VT
National Provider Identifier
1144039496
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0136280 Issued in VT
Practice address
PO Box 185
Danville, VT 05828-0185
Phone
(802) 684-2275
Fax
(802) 684-3839
NPI assigned
Jan 2, 2025
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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 068.0136280 VT Primary

Addresses

Primary practice location

PO Box 185
Danville, VT 05828-0185

Mailing address

PO Box 185
Danville, VT 05828-0185
Phone (802) 684-2275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Counties Health Care, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Northern Counties Health Care Inc CurrentSince Dec 1, 2024 Accepting new patients

Locations

26 Cedar Ln
Danville, VT 05828
Phone (802) 684-2275

185 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 695-2512

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1144039496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "city": "DANVILLE",
            "state": "VT",
            "postal_code": "058280185",
            "telephone_number": "802-684-2275",
            "fax_number": "802-684-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "city": "DANVILLE",
            "state": "VT",
            "postal_code": "058280185",
            "telephone_number": "802-684-2275",
            "fax_number": "802-684-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENAUD",
        "first_name": "MATTHEW",
        "middle_name": "H",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0136280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VT

Sources for this page

Verify at the official NPI Registry.