Organization Active NPI

Baroody Counseling PLLC

  • Mental Health Counselor
  • Rutland, VT
National Provider Identifier
1497404438
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BAROODY COUNSELING PLLC
Practice address
77 Grove St Ste 107
Rutland, VT 05701-3403
Phone
(802) 379-9675
NPI assigned
Mar 18, 2022
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Mrs. Kathleen E Baroody, LCMHC, NCCNPI 1619502648
Title
Provider
Phone
(407) 312-9781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

77 Grove St Ste 107
Rutland, VT 05701-3403

Mailing address

187 Countryside Dr
Rutland, VT 05701-9313
Phone (407) 312-9781

Other practice location 1

355 Elm St
Bennington, VT 05201-2282
Phone (407) 312-9781

Other identifiers 1

IdentifierTypeStateIssuer
6709102MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250410001290 VT Part B Supplier - Clinic/Group Practice 6002330198 Receives reassigned benefits from 1 practitioner
Practice locations: Rutland, VT

National Provider Directory

National Provider Directory

Locations

77 Grove St
Ste 107
Rutland, VT 05701
Phone (802) 379-9675

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1497404438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 COUNTRYSIDE DR",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057019313",
            "telephone_number": "407-312-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 GROVE ST STE 107",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013403",
            "telephone_number": "802-379-9675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Elm St",
            "address_purpose": "LOCATION",
            "city": "Bennington",
            "state": "VT",
            "postal_code": "052012282",
            "country_code": "US",
            "telephone_number": "407-312-9781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAROODY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "BAROODY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "407-312-9781",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6709102",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.