Jeff Rothenberg, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0000507 Issued in VT

Practice address

9 Heaton St
Montpelier, VT 05602-2489

Phone

(802) 223-6328

Fax

(802) 229-8004

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington County Mental Health Services IncGroup PAC ID 8123010121, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Washington County Mental Health Services, Inc.

  • Community/Behavioral Health Agency
  • Berlin, VT
  • NPI 1922026996

  Mental Health

  Medicare reassignment Care Compare group NPD
• Washington County Mental Health Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Montpelier, VT
  • NPI 1568210276

  Mental Health

  NPD
• Washington County Mental Health Services, Inc.

  • Developmental Disabilities Clinic/Center
  • Barre, VT
  • NPI 1710901939
  NPD
• State of Vermont

  • Clinical Medical Laboratory
  • Colchester, VT
  • NPI 1215151410
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497842322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 HOWES RD",
            "city": "MORETOWN",
            "state": "VT",
            "postal_code": "056604412",
            "telephone_number": "802-496-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HEATON ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022489",
            "telephone_number": "802-223-6328",
            "fax_number": "802-229-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHENBERG",
        "first_name": "JEFF",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0000507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007431",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2183012",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simone Lea Rollins, MA
• Corina Rose
• Lori Rae Rose, R.P.T.
• Sean Francis Rosetta, BA
• Charles August Rossi
• Jacob Robert Rusczek, PH.D.
• Erin Marie Carroll Russell, M.A., BCBA
• Lydia Slocum Russell, LCMHC
• Ryan Stanton PLC
• Sage Naturopathic Health LLC

• Mental Health Counselor in Montpelier, VT
• Providers in Montpelier, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.