Kristin Ellen Mason

Individual provider Active NPI Mental Health Counselor · Morgan, VT

NPI 1356091169 · NPPES record last updated Mar 25, 2022

Key facts

NPI
1356091169
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
068.0134464 (VT)
Practice address
574 Sunset Drive
Morgan, VT 05853-0146
Phone
(802) 895-9166
Fax
(802) 895-9177
NPI assigned
Mar 25, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240127000016 VT Practitioner - Mental Health Counselor 3870946718 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Kingdom Human Services Inc Current
since Jan 1, 2024
Accepting new patients
Reining Hope Counseling Services LLC Mental Health Current
since Apr 10, 2022
Accepting new patients

Locations

2225 Portland St
St Johnsbury, VT 05819
Phone (802) 748-3181

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0134464 VT Yes

Addresses

Primary practice location

574 Sunset Drive
Morgan, VT 05853-0146

Mailing address

PO Box 146
Morgan, VT 05853-0146
Phone (802) 895-9166

Other practice location 1

181 Crawford Road
Derby, VT 05829-0000
Phone (802) 334-6744

Other providers in Morgan, VT

All providers in Morgan, VT · Mental Health Counselor in Vermont

Sources for this page

Verify at the official NPI Registry.