NPIMap

Organization Active NPI

Landry Counseling and Supervision Services, PLLC

Doing business as OpenGate

  • Mental Health Counselor
  • East Calais, VT
National Provider Identifier
1396573895
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LANDRY COUNSELING AND SUPERVISION SERVICES, PLLC
Doing business as
OpenGate
Practice address
760 Kent Hill Rd
East Calais, VT 05650-8048
Phone
(802) 793-9850
NPI assigned
Jul 25, 2024
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Kathleen Marie Landry, MA, LCMHCNPI 1053661215
Title
Owner/ Clinical Director
Phone
(802) 793-9850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

760 Kent Hill Rd
East Calais, VT 05650-8048

Mailing address

760 Kent Hill Rd
East Calais, VT 05650-8048
Phone (802) 793-9850

Other identifiers 3

IdentifierTypeStateIssuer
3019214OtherVTMVP PROVIDER ID
1021075OtherVTVERMONT MEDICAID PROVIDER ID
12443277OtherCAQH CLEARINGHOUSE

Other names 1

  • OpenGate Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1396573895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 KENT HILL RD",
            "city": "EAST CALAIS",
            "state": "VT",
            "postal_code": "056508048",
            "telephone_number": "802-793-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 KENT HILL RD",
            "city": "EAST CALAIS",
            "state": "VT",
            "postal_code": "056508048",
            "telephone_number": "802-793-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDRY COUNSELING AND SUPERVISION SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "802-793-9850",
        "authorized_official_credential": "MA, LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PROVIDER ID",
            "identifier": "3019214",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT MEDICAID PROVIDER ID",
            "identifier": "1021075",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH CLEARINGHOUSE",
            "identifier": "12443277",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OpenGate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Calais, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.