Individual provider Active NPI

Benjamin Sklarski, LCMHC

  • Mental Health Counselor
  • Morrisville, VT
National Provider Identifier
1245850130
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0134227 Issued in VT
Practice address
607 Washington Hwy
Morrisville, VT 05661-8652
Phone
(802) 888-8320
Fax
(802) 888-8136
NPI assigned
Apr 21, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 068.0134227 VT
Mental Health Counselor 101YM0800X 068.0134227 VT Primary

Addresses

Primary practice location

607 Washington Hwy
Morrisville, VT 05661-8652

Mailing address

PO Box 749
Morrisville, VT 05661-0749
Phone (802) 851-8619

Other practice location 1

609 Washington Hwy
Morrisville, VT 05661-8652
Phone (802) 888-5639

Other practice location 2

1878 Mountain Rd
Stowe, VT 05672-4776
Phone (802) 253-4853

Other identifiers 1

IdentifierTypeStateIssuer
6703545MedicaidVT

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
I20240223000202 VT Practitioner - Mental Health Counselor 3779927223 Practice locations: Hyde Park, VT; Wolcott, VT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

263 Eagle Ledge Rd
Wolcott, VT 05680-3135
Phone (802) 888-5766

951 VT 15
Hyde Park, VT 05655-9319
Phone (802) 730-7646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1245850130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056610749",
            "telephone_number": "802-851-8619",
            "fax_number": "802-851-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618652",
            "telephone_number": "802-888-8320",
            "fax_number": "802-888-8136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Washington Hwy",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "VT",
            "postal_code": "056618652",
            "country_code": "US",
            "telephone_number": "802-888-5639",
            "fax_number": "802-888-6040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1878 Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Stowe",
            "state": "VT",
            "postal_code": "056724776",
            "country_code": "US",
            "telephone_number": "802-253-4853",
            "fax_number": "802-888-1759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKLARSKI",
        "first_name": "BENJAMIN",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "068.0134227",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6703545",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, VT

Sources for this page

Verify at the official NPI Registry.