Terry D Maxfield Jr., MA, LCMHC
Individual provider Active NPI Mental Health Counselor · Norwich, VT
NPI 1487960712 · NPPES record last updated Oct 18, 2023
Key facts
- NPI
- 1487960712
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 068.0057660 (VT)
- Practice address
- 289 Main St Unit B211
Norwich, VT 05055-9354 - Phone
- (802) 526-9958
- NPI assigned
- Aug 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068.0057660 | VT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068.0057660 | VT | Yes |
Addresses
Primary practice location
289 Main St Unit B211
Norwich, VT 05055-9354
Mailing address
PO Box 668
Norwich, VT 05055-0668
Phone (802) 526-9958
Other practice location 1
15 Davison Ln
Lyme, NH 03768-3713
Phone (802) 526-9958
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018048 | Medicaid | VT |
Other providers in Norwich, VT
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- Toby P Kravitz
- Ann Kraybill
- Hilary Ann Lynch
- Nicole L Maresca
- Maybe Baby LLC
- Donald R McCabe
- Daphne McCampbell
- Terence McDonnell
- Tonya Kay McMurray
All providers in Norwich, 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 Oct 18, 2023. 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.