Alice Glee Haskins
Individual provider Active NPI Mental Health Counselor · Johnson, VT
NPI 1245069764 · NPPES record last updated Aug 1, 2024
Key facts
- NPI
- 1245069764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 097.0136192 (VT)
- Practice address
- 275 Route 15 W
Johnson, VT 05656-9657 - Phone
- (802) 635-2805
- NPI assigned
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097.0136192 | VT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laraway Youth & Family Services, Inc. | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 097.0136192 | VT | Yes |
Addresses
Primary practice location
275 Route 15 W
Johnson, VT 05656-9657
Mailing address
275 Route 15 W
Johnson, VT 05656-9657
Phone (802) 635-2805
Other providers in Johnson, VT
- Vincent Faraci
- Mark A Ferriman
- Michele Gerin-Lajoie
- Green Peaks Counseling
- Haley Newman Counseling LLC
- Cynthia D. Hennard
- Lily Hewitt
- Johnson State College
- Lamoille Ambulance Service,Inc.
- Laraway Youth & Family Services, Inc.
All providers in Johnson, VT · Mental Health Counselor in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.