Lily Hewitt, MA, LCMHC

Individual provider Active NPI Mental Health Counselor · Johnson, VT

NPI 1245069855 · NPPES record last updated Jul 31, 2024

Key facts

NPI
1245069855
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
068.0136066 (VT)
Practice address
275 Route 15 W
Johnson, VT 05656-9657
Phone
(802) 635-2805
NPI assigned
Jul 31, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
068.0136066VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Laraway Youth & Family Services, Inc. Mental Health Past
since Aug 4, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0136066 VT Yes

Addresses

Primary practice location

275 Route 15 W
Johnson, VT 05656-9657

Mailing address

89 Kinney Dr Apt 9
Jeffersonville, VT 05464-6205
Phone (201) 403-4078

Other providers in Johnson, VT

All providers in Johnson, VT · Mental Health Counselor in Vermont

Sources for this page

Verify at the official NPI Registry.