Active NPI
Kayla B Tatro, CASAC
- Addiction (Substance Use Disorder) Counselor
- Saint Albans, VT
National Provider Identifier
1427295864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 104145
- Practice address
- 107 Fisher Pond Rd
Saint Albans, VT 05478-6286 - Phone
- (802) 524-6554
- Fax
- (802) 524-6562
- NPI assigned
- Jan 7, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 104145 | VT | Primary |
Addresses
Primary practice location
107 Fisher Pond Rd
Saint Albans, VT 05478-6286
Mailing address
61 Pearl St Unit 27
Essex Junction, VT 05452-3688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104145 | VT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231286400000",
"number": "1427295864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 PEARL ST UNIT 27",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "054523688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 FISHER POND RD",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054786286",
"telephone_number": "802-524-6554",
"fax_number": "802-524-6562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATRO",
"first_name": "KAYLA",
"middle_name": "B",
"credential": "CASAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2009-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VT",
"license": "104145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.