Pride Support Services Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PRIDE SUPPORT SERVICES INC

Practice address

36 Summer St
Barre, VT 05641-3773

Phone

(802) 479-5801

NPI assigned

May 11, 2018

Last updated

May 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Michele Corrow

Title

Co-Owner

Phone

(802) 279-1736

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1417447723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410969",
            "telephone_number": "802-479-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 SUMMER ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056413773",
            "telephone_number": "802-479-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "CORROW",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "802-279-1736",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009952",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W288",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010068",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood of Northern New England
• Devon S. Potter, RN
• Edward Eliphalet Potter
• Kristen Marjorie Poulin
• Kelly Renee Pratt, BI
• Project Independence
• Scot Punderson, CRC, PRSS
• Courtney A.E. Rauer, APRN
• Megan Rea
• Nicole L. Rea

• Case Management Agency in Barre, VT
• Providers in Barre, VT by specialty
• Case Management Agency in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.