Alicia Kim Banach, CRC, PRSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

194.0000083 Issued in VT

Practice address

179 S Winooski Ave
Burlington, VT 05401-4669

Phone

(802) 861-3150

NPI assigned

Sep 17, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1497667372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 S WINOOSKI AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014669",
            "telephone_number": "802-861-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 S WINOOSKI AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014669",
            "telephone_number": "802-861-3150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 Pine St Rm 111",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054014924",
            "country_code": "US",
            "telephone_number": "802-488-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 San Remo Dr",
            "address_purpose": "LOCATION",
            "city": "South Burlington",
            "state": "VT",
            "postal_code": "054036385",
            "country_code": "US",
            "telephone_number": "802-488-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANACH",
        "first_name": "ALICIA",
        "middle_name": "KIM",
        "credential": "CRC, PRSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "VT",
            "license": "194.0000083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esti M Bakty, N.M.D.
• Simrun Bal
• Pranav Balang
• Agnes Balla, M.D.
• Oni Balonfentse, DO
• Veronica Bangs
• Amber Banta, LCMHC
• Caitlin Baran
• Suzanne Bush Baran, APRN, BC
• Ghassan Abdullrahman a Barayan, MD

• Peer Specialist in Burlington, VT
• Providers in Burlington, VT by specialty
• Peer Specialist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.