Active NPI
James Robert Nelson, LCMHC
- Mental Health Counselor
- St. Albans, VT
National Provider Identifier
1467674580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0680000383
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008374 | Medicaid | VT |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0680000383 | VT | MD | Mental 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.