Organization Active NPI

Easter Seals Vermont, Inc

  • Community/Behavioral Health Agency
  • Barre, VT
National Provider Identifier
1164826038
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EASTER SEALS VERMONT, INC
Practice address
14 N Main St Ste 3004
Barre, VT 05641-4197
Phone
(802) 622-3230
NPI assigned
Oct 21, 2014
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Claire Gagnon
Title
Cfo
Phone
(603) 621-3516

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Psychologist 103T00000X NU
Social Worker 104100000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

14 N Main St Ste 3004
Barre, VT 05641-4197

Mailing address

555 Auburn Street
Manchester, NH 03103

National Provider Directory

National Provider Directory

Locations

14 N Main St
Ste 3004
Barre, VT 05641
Phone (802) 622-3230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1164826038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 AUBURN STREET",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N MAIN ST STE 3004",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414197",
            "telephone_number": "802-622-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS VERMONT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "603-621-3516"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barre, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.