Kathryn A Bergeron, LCMHC
Individual provider Active NPI Mental Health Counselor · Barnet, VT
NPI 1477566065 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1477566065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 068-0000541 (VT)
- Practice address
- 2688 Roy Mountain Road
Barnet, VT 05821 - Phone
- (802) 633-3632
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068-0000541 | VT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068-0000541 | VT | Yes |
Addresses
Primary practice location
2688 Roy Mountain Road
Barnet, VT 05821
Mailing address
PO Box 84
Barnet, VT 05821-0084
Phone (802) 633-3632
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IP562608 | Other | VT | MAGELLON |
| 080-58463 | Other | VT | BLUE CROSS BLUE SHIELD |
| 21219232904 | Other | VT | BEECH STREET |
| 610252 | Other | VT | MVP HEALTH PLAN |
| 1008471 | Medicaid | VT | |
| 2086238 | Other | VT | CIGNA |
Other providers in Barnet, VT
All providers in Barnet, VT · Mental Health Counselor in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.