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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240127000016 | VT | Practitioner - Mental Health Counselor | 3870946718 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Kingdom Human Services Inc | Current |
Accepting new patients | |
| Reining Hope Counseling Services LLC | Mental Health | Current |
Accepting new patients |
Locations
2225 Portland St
St Johnsbury, VT 05819
Phone (802) 748-3181
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Kheilbi Larose
- Stefanie Lingenfelter
- Rachel Marie Pope
- Reining Hope Counseling Services LLC
- Stephanie Paulette Scott
All providers in Morgan, VT · Mental Health Counselor in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2022. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.