Active NPI
Michelle Kaczynski
- Counseling Psychologist
- Middlebury, VT
National Provider Identifier
1235618661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 047.0133666
- Practice address
- 67 Catamount Park
Middlebury, VT 05753-1397 - Phone
- (802) 388-8188
- Fax
- (802) 388-8183
- NPI assigned
- Aug 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 047.0133666 | VT | Primary |
Addresses
Primary practice location
67 Catamount Park
Middlebury, VT 05753-1397
Mailing address
89 Main St
Middlebury, VT 05753-1483
Phone (802) 388-6751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047.0133666 | VT | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Service of Addison County | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Middlebury, VT
- NPI 1356700819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1235618661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 MAIN ST",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057531483",
"telephone_number": "802-388-6751",
"fax_number": "802-388-3018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 CATAMOUNT PARK",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057531397",
"telephone_number": "802-388-8188",
"fax_number": "802-388-8183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACZYNSKI",
"first_name": "MICHELLE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "VT",
"license": "047.0133666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middlebury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.