Counseling Service of Addison County
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Middlebury, VT
NPI 1376672402 · NPPES record last updated Oct 18, 2011
Key facts
- NPI
- 1376672402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- COUNSELING SERVICE OF ADDISON COUNTY
- Practice address
- 89 Main St
Middlebury, VT 05753-1459 - Phone
- (802) 388-6751
- Fax
- (802) 388-8183
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert Jimerson, M.D.
- Title
- Medical Director
- Phone
- (802) 388-6751
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Counseling Service of Addison County Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 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 |
|---|---|---|---|
| 6060011 | Medicaid | VT |
Other providers in Middlebury, VT
- Dayton Raymond Contois
- Timothy T Cope
- Francisco Jaime Corbalan
- Joanne Corbett
- Counseling Service of Addison County
- Counseling Service of Addison County
- Counseling Service of Addison County, Inc
- Counseling Service of Addison County, Inc
- Counseling Service of Addison County, Inc
- Alan D Covey
All providers in Middlebury, VT · Substance Use Disorder Rehabilitation Clinic/Center in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.