Lydia Jane Bohn, MS

Individual provider Active NPI Mental Health Counselor · Burlington, VT

NPI 1275267635 · NPPES record last updated Jul 12, 2022

Key facts

NPI
1275267635
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
31 Elmwood Ave
Burlington, VT 05401-4347
Phone
(802) 864-7423
NPI assigned
Jul 12, 2022
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 Science

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum, Inc. Addiction (Substance Use Disorder) Past
since Jul 17, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

31 Elmwood Ave
Burlington, VT 05401-4347

Mailing address

31 Elmwood Ave
Burlington, VT 05401-4347
Phone (802) 864-7423

Other providers in Burlington, VT

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

Sources for this page

Verify at the official NPI Registry.