Active NPI
Trivium - New England LLC
Doing business as Averte
- Psychiatric Residential Treatment Facility
- Lebanon, NH
National Provider Identifier
1316667322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- 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 SERVICES
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Clinical Social Worker | 1041C0700X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 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
- Trivium Integrative Mental Health
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.