Individual provider Active NPI

Hetty L. Thomae, MA

  • Mental Health Counselor
  • Norwich, VT
National Provider Identifier
1255635918
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068-0000350 Issued in VT
Practice address
528 New Boston Road
Norwich, VT 05055-9674
Phone
(802) 299-0867
NPI assigned
Jan 10, 2011
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1255635918 VT
Mental Health Counselor 101YM0800X 068-0000350 VT Primary

Addresses

Primary practice location

528 New Boston Road
Norwich, VT 05055-9674

Mailing address

528 New Boston Road
Norwich, VT 05055-9674
Phone (802) 299-0867

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
I20250225000683 VT Practitioner - Mental Health Counselor 4688194319 Practice locations: Norwich, VT

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1255635918VTMDCounselor
068-0000350VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1255635918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 NEW BOSTON ROAD",
            "city": "NORWICH",
            "state": "VT",
            "postal_code": "050559674",
            "telephone_number": "802-299-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 NEW BOSTON ROAD",
            "city": "NORWICH",
            "state": "VT",
            "postal_code": "050559674",
            "telephone_number": "802-299-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAE",
        "first_name": "HETTY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VT",
            "license": "1255635918",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, VT

Sources for this page

Verify at the official NPI Registry.