Organization Active NPI

Trivium - New England LLC

Doing business as Averte

  • Psychiatric Residential Treatment Facility
  • Lebanon, NH
National Provider Identifier
1316667322
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
TRIVIUM - NEW ENGLAND LLC
Doing business as
Averte
Trivium Integrative Mental Health
Practice address
85 Mechanic St Ste C3-5
Lebanon, NH 03766-1537
Phone
(603) 664-4600
NPI assigned
Aug 30, 2022
Organization subpart
Yes
Parent organization
TRIVIUM LIFE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Alex Walker
Title
VP Information Technology
Phone
(712) 256-7888

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatric Residential Treatment Facility 323P00000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

85 Mechanic St Ste C3-5
Lebanon, NH 03766-1537

Mailing address

2122 Lower PLN
Bradford, VT 05033-8936
Phone (802) 222-9393

Other practice location 1

2122 Lower Pln
Bradford, VT 05033-8936
Phone (802) 222-9393

Other names 2

  • Averte Doing business as
  • Trivium Integrative Mental Health Doing business as

National Provider Directory

National Provider Directory
Part of
Trivium Life Services

Locations

85 Mechanic St
Ste C35
Lebanon, NH 03766
Phone (603) 664-4600

2122 Lower Pln
Bradford, VT 05033
Phone (802) 222-4412

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1316667322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 LOWER PLN",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "050338936",
            "telephone_number": "802-222-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MECHANIC ST STE C3-5",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661537",
            "telephone_number": "603-664-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 Lower Pln",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "VT",
            "postal_code": "050338936",
            "country_code": "US",
            "telephone_number": "802-222-9393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIVIUM - NEW ENGLAND LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIVIUM LIFE SERVICES",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "VP INFORMATION TECHNOLOGY",
        "authorized_official_telephone_number": "712-256-7888"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Averte",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trivium Integrative Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trivium Integrative Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.