Spring Lake Ranch

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

0526 Issued in VT

Legal business name

SPRING LAKE RANCH

Practice address

1169 Spring Lake Rd
Cuttingsville, VT 05738-4418

Phone

(802) 492-3322

Fax

(802) 492-3331

NPI assigned

Jul 16, 2007

Last updated

Jul 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Richards-Peelle

Title

Business Manager

Phone

(802) 492-3322

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa L Hoffmann, LCMHC

  • Mental Health Counselor
  • Cuttingsville, VT
  • NPI 1497264931
  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1336348705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 SPRING LAKE RD",
            "city": "CUTTINGSVILLE",
            "state": "VT",
            "postal_code": "057384418",
            "telephone_number": "802-492-3322",
            "fax_number": "802-492-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 SPRING LAKE RD",
            "city": "CUTTINGSVILLE",
            "state": "VT",
            "postal_code": "057384418",
            "telephone_number": "802-492-3322",
            "fax_number": "802-492-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING LAKE RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "RICHARDS-PEELLE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "802-492-3322"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VT",
            "license": "0526",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "VT",
            "license": "0526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Garren
• Theresa L Hoffmann, LCMHC
• Allison Stone, BCBA, OT

• Mental Illness Community Based Residential Treatment Facility in Cuttingsville, VT
• Providers in Cuttingsville, VT by specialty
• Mental Illness Community Based Residential Treatment Facility in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.