Individual provider Active NPI

Scott Ward Fournier, LCMHC

  • Mental Health Counselor
  • St Johnsbury, VT
National Provider Identifier
1285197541
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0134139 Issued in VT
Practice address
1129 Main St Ste 1
St Johnsbury, VT 05819-2601
Phone
(802) 473-6107
NPI assigned
Apr 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 068.0134139 VT Primary

Addresses

Primary practice location

1129 Main St Ste 1
St Johnsbury, VT 05819-2601

Mailing address

686 Darling Hill Rd
Lyndonville, VT 05851-4515
Phone (802) 473-6107

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
I20240530002729 VT Practitioner - Mental Health Counselor 7315489176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cairn Counseling Center PLC Mental Health CurrentSince Apr 21, 2024 Accepting new patients

Locations

1129 Main St
Ste 1
St Johnsbury, VT 05819
Phone (802) 473-6107

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1285197541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 DARLING HILL RD",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "058514515",
            "telephone_number": "802-473-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 MAIN ST STE 1",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058192601",
            "telephone_number": "802-473-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "SCOTT",
        "middle_name": "WARD",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

Verify at the official NPI Registry.