Jennifir Bailes Hart, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068-0000756 Issued in VT

Practice address

850 Meadowbrook Rd
Brattleboro, VT 05301-2594

Phone

(802) 387-2254

NPI assigned

Oct 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1265684617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "PUTNEY",
            "state": "VT",
            "postal_code": "053460658",
            "telephone_number": "802-387-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MEADOWBROOK RD",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053012594",
            "telephone_number": "802-387-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "JENNIFIR",
        "middle_name": "BAILES",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth R. Harris, LCMHC
• Jonathan Harris, APRN
• Susan Harris, RPH
• Tom Harrison, LADC
• Bruce B Hart, LADC
• Edward M Harty
• Kimi Hasegawa, P.T.
• Megan Schwarz Hawthorne, LICSW
• Fadi Jamil Hawwash, DMD
• Anne H Haydock, MD

• Mental Health Counselor in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.