Paul Rodrigue
Individual provider Active NPI Marriage & Family Therapist · Brattleboro, VT
NPI 1205939501 · NPPES record last updated Sep 18, 2008
Key facts
- NPI
- 1205939501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1000-0000027 (VT)
- Practice address
- Anna Marsh Lane
Brattleboro, VT 05302 - Phone
- (802) 257-7785
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
167 Main St
Brattleboro, VT 05301-3057
Phone 80225839142
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240111004217 | VT | Practitioner - Marriage and Family Therapist | 9335590595 | Practice locations: Brattleboro, VT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1000-0000027 | VT | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1000-0000027 | VT | Yes |
Addresses
Primary practice location
Anna Marsh Lane
Brattleboro, VT 05302
Mailing address
Anna Marsh Lane
Brattleboro, VT 05302
Phone (802) 257-7785
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007584 | Medicaid | VT | |
| 1000-0000027 | Other | VT | LICENSE |
Other providers in Brattleboro, VT
- Robert J Cotter Brattleboro Family Eye Care
- Hillary Roberts
- Sarah Roberts
- Scott David Robinson
- Rock River Therapy PLLC
- Elizabeth Rogers
- Emilee Rogers
- Jenna Rogge
- Valerie Anne Rooney
- Alysha Rosario
All providers in Brattleboro, VT · Marriage & Family Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.