Individual provider Active NPI

Sarah Catherine Kocz, MA, LCMHC, LADC

  • Mental Health Counselor
  • Brattleboro, VT
National Provider Identifier
1356886691
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0128938 Issued in VT
Practice address
Anna Marsh Lane
Brattleboro Retreat Mind Body Pain Management Clinic
Brattleboro, VT 05302
Phone
(802) 258-6844
Fax
(802) 258-3743
NPI assigned
Dec 22, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000699 VT
Mental Health Counselor 101YM0800X 068.0128938 VT Primary

Addresses

Primary practice location

Anna Marsh Lane
Brattleboro Retreat Mind Body Pain Management Clinic
Brattleboro, VT 05302

Mailing address

82 Spring St Apt 3
Keene, NH 03431-3216
Phone (240) 413-0211

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
I20240111002317 VT Practitioner - Mental Health Counselor 8921459132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brattleboro RetreatGroup PAC ID 7012828908, 61 clinicians

Practice addresses (Care Compare)

22 Anna Marsh LN
Dummerston, VT 05301-3292
Phone (802) 258-4391

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000699VTMDAddiction (Substance Use Disorder) Counselor
068.0128938VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brattleboro Retreat CurrentSince Jan 1, 2024 Accepting new patients

Locations

1 Anna Marsh Ln
Dummerston, VT 05301

22 Anna Marsh Ln
Dummerston, VT 05301
Phone (802) 258-3700

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356886691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 SPRING ST APT 3",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313216",
            "telephone_number": "240-413-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANNA MARSH LANE",
            "address_2": "BRATTLEBORO RETREAT MIND BODY PAIN MANAGEMENT CLINIC",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "05302",
            "telephone_number": "802-258-6844",
            "fax_number": "802-258-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCZ",
        "first_name": "SARAH",
        "middle_name": "CATHERINE",
        "credential": "MA, LCMHC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000699",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0128938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.