Individual provider Active NPI

Kerrin Kritchman, MA, LCMHC

  • Mental Health Counselor
  • Middlesex, VT
National Provider Identifier
1326102153
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0680000602 Issued in VT
Practice address
98 Government Hill Rd
Middlesex, VT 05602-9382
Phone
(802) 355-8989
NPI assigned
Dec 19, 2006
Last updated
Dec 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0680000602 VT Primary

Addresses

Primary practice location

98 Government Hill Rd
Middlesex, VT 05602-9382

Mailing address

98 Government Hill Rd
Middlesex, VT 05602-9382
Phone (802) 355-8989

Other identifiers 1

IdentifierTypeStateIssuer
1009404MedicaidVT

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
I20240221001607 VT Practitioner - Mental Health Counselor 2365886025 Practice locations: Middlesex, VT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

98 Government Hill Rd
Middlesex, VT 05602-9382
Phone 80235589890000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0680000602VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1326102153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 GOVERNMENT HILL RD",
            "city": "MIDDLESEX",
            "state": "VT",
            "postal_code": "056029382",
            "telephone_number": "802-355-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 GOVERNMENT HILL RD",
            "city": "MIDDLESEX",
            "state": "VT",
            "postal_code": "056029382",
            "telephone_number": "802-355-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRITCHMAN",
        "first_name": "KERRIN",
        "credential": "MA, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680000602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009404",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesex, VT

Sources for this page

Verify at the official NPI Registry.