Individual provider Active NPI

Caitlin Rotkiewicz, MA

  • Professional Counselor
  • Hartford, VT
National Provider Identifier
1437614872
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
097.0134371 Issued in VT
Practice address
49 School Street
Hartford, VT 05047
Phone
(802) 295-3031
Fax
(802) 295-0820
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
097.0134371VTMDProfessional Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 097.0134371 VT Primary

Addresses

NPPES NPI Registry

Primary practice location

49 School Street
Hartford, VT 05047

Mailing address

390 River Street
Springfield, VT 05156
Phone (802) 886-4500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2019.

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1437614872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 RIVER STREET",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "05156",
            "telephone_number": "802-886-4500",
            "fax_number": "802-886-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SCHOOL STREET",
            "city": "HARTFORD",
            "state": "VT",
            "postal_code": "05047",
            "telephone_number": "802-295-3031",
            "fax_number": "802-295-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTKIEWICZ",
        "first_name": "CAITLIN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VT",
            "license": "097.0134371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.