Individual provider Active NPI

James Robert Nelson, LCMHC

  • Mental Health Counselor
  • St. Albans, VT
National Provider Identifier
1467674580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0680000383 Issued in VT
Practice address
92 Fairfield Street
St. Albans, VT 05478
Phone
(802) 524-2002
Fax
(802) 527-1915
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0680000383 VT Primary

Addresses

Primary practice location

92 Fairfield Street
St. Albans, VT 05478

Mailing address

92 Fairfield Street
St. Albans, VT 05478
Phone (802) 524-2002

Other identifiers 1

IdentifierTypeStateIssuer
1008374MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108004236 VT Practitioner - Mental Health Counselor 4284085838 Practice locations: Montpelier, VT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 Main St
Suite 204
Montpelier, VT 05602-4258
Phone (802) 318-5456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0680000383VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467674580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 FAIRFIELD STREET",
            "city": "ST. ALBANS",
            "state": "VT",
            "postal_code": "05478",
            "telephone_number": "802-524-2002",
            "fax_number": "802-527-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 FAIRFIELD STREET",
            "city": "ST. ALBANS",
            "state": "VT",
            "postal_code": "05478",
            "telephone_number": "802-524-2002",
            "fax_number": "802-527-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680000383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008374",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Albans, VT

Sources for this page

Verify at the official NPI Registry.