Individual provider Active NPI

Trevor James Jewett, MA

  • Mental Health Counselor
  • Saint Albans, VT
National Provider Identifier
1225613714
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
67 Fairfield St Ste 204
Saint Albans, VT 05478-1798
Phone
(802) 752-7406
NPI assigned
Mar 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Mental Health Counselor 101YM0800X VT Primary

Addresses

Primary practice location

67 Fairfield St Ste 204
Saint Albans, VT 05478-1798

Mailing address

67 Fairfield St Ste 204
Saint Albans, VT 05478-1798
Phone (802) 752-7406

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
I20240227003466 VT Practitioner - Mental Health Counselor 0547605727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

67 Fairfield St
Suite 206
Saint Albans, VT 05478-1798
Phone (802) 752-7406

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Restoring Rhythm Vermont PLLC CurrentSince Jan 9, 2024 Accepting new patients

Locations

67 Fairfield St
Ste 204
Saint Albans, VT 05478
Phone (802) 752-7406

67 Fairfield St
Ste 206
Saint Albans, VT 05478
Phone (802) 752-7406

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": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1225613714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 FAIRFIELD ST STE 204",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781798",
            "telephone_number": "802-752-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 FAIRFIELD ST STE 204",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781798",
            "telephone_number": "802-752-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWETT",
        "first_name": "TREVOR",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.