Front Line Foundations of North America, Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

FRONT LINE FOUNDATIONS OF NORTH AMERICA, INC

Practice address

1 Hospital CT Ste 11
Bellows Falls, VT 05101-1489

Phone

(802) 732-2518

NPI assigned

Oct 7, 2020

Organization subpart

No

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

Authorized official

Name

Steven A. Banks

Title

Executive Director

Phone

(802) 732-2516

Specialties & licenses 3

Addresses

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lynn Sell-Knapp, MSW

  • Clinical Social Worker
  • Greenfield, MA
  • NPI 1811252174

  Clinical

  NPD (past)

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1205433703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 855",
            "city": "BELLOWS FALLS",
            "state": "VT",
            "postal_code": "051010855",
            "telephone_number": "802-732-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL CT STE 11",
            "city": "BELLOWS FALLS",
            "state": "VT",
            "postal_code": "051011489",
            "telephone_number": "802-732-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT LINE FOUNDATIONS OF NORTH AMERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "802-732-2516"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. David M. Heydenreich
• Dr. Vernon R. Temple
• Holiday Eames, LCMHC, NCC
• Fall Mountain Pharmacy, LLC
• Fall Mountain Pharmacy, LLC
• Hope Gahan
• Greater Falls Pharmacy, Inc.
• Samantha J Gurney, PHARMD
• H & B Lefevre EMS
• Eliot R Hall, MD

• All providers in Bellows Falls, VT
• Adult Mental Health Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.