Counseling Service of Addison County, Inc
Organization Active NPI Clinic/Center · Middlebury, VT
NPI 1336278985 · NPPES record last updated Jan 11, 2024
Key facts
- NPI
- 1336278985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- COUNSELING SERVICE OF ADDISON COUNTY, INC
- Practice address
- 89 Main St
Middlebury, VT 05753-1459 - Phone
- (802) 388-6751
- Fax
- (802) 388-8183
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Emily Ann Vandeweert
- Title
- Billing Manager
- Phone
- (802) 388-6751
Corporate family (same tax ID) 6
Practitioners 35
-
Cassandra Corcoran, LCMHC
-
Douglas Clark Corey, M .A.
-
Lisa Claire Dobkowski, MA, LCMHC
-
Marian S Greenberg, MSW
-
Philippa Beth Owens, LICSW, APRN
-
Carolyn Gillis Liberty I, LICSW
-
Anne N. Clegg, M.D.
-
Margaret Harvey, MA
-
Maura Nydegger, LICSW, MSW
-
Emily Pearl, LCMHC
-
Feyza Basoglu, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040329001379 | VT | Part B Supplier - Clinic/Group Practice | 2062304439 |
Receives reassigned benefits from 29 practitioners Practice locations: Middlebury, VT |
National Provider Directory
- Tax ID family
- Counseling Service of Addison County Inc
Locations
109 Catamount Park
Middlebury, VT 05753
Phone (802) 388-4021
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
89 Main St
Middlebury, VT 05753-1459
Mailing address
89 Main St
Middlebury, VT 05753-1459
Phone (802) 388-6751
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004324 | Medicaid | VT | |
| 1009765 | Medicaid | VT |
Other providers in Middlebury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.