Individual provider Active NPI

Cassandra Corcoran, LCMHC

  • Mental Health Counselor
  • Bristol, VT
National Provider Identifier
1477855500
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0680057598 Issued in VT
Practice address
2722 Mountain Road
Bristol, VT 05443
Phone
(802) 453-4334
NPI assigned
Nov 22, 2010
Last updated
Nov 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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 0680057598 VT Primary

Addresses

Primary practice location

2722 Mountain Road
Bristol, VT 05443

Mailing address

2722 Mountain Rd
Bristol, VT 05443-9385

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
I20250930000108 VT Practitioner - Mental Health Counselor 7810493897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling Service of Addison County IncGroup PAC ID 2062304439, 14 clinicians

Practice addresses (Care Compare)

89 Main St
Middlebury, VT 05753-1459
Phone (802) 388-6751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0680057598VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Service of Addison County, Inc CurrentSince Jun 15, 2025 Accepting new patients

Locations

89 Main St
Middlebury, VT 05753
Phone (802) 388-6751

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1477855500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 MOUNTAIN RD",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054439385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 MOUNTAIN ROAD",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "05443",
            "telephone_number": "802-453-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "CASSANDRA",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680057598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VT

Sources for this page

Verify at the official NPI Registry.