Active NPI
Bob Handelman
- Mental Health Counselor
- Norwich, VT
National Provider Identifier
1528044179
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jun 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 089-0000100
- Practice address
- 23 Bullock Rd
Norwich, VT 05055-9791 - Phone
- (802) 649-1030
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 089-0000100 | VT | Primary |
Addresses
Primary practice location
23 Bullock Rd
Norwich, VT 05055-9791
Mailing address
24 Bullock Rd
Norwich, VT 05055-9791
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006699 | Medicaid | VT | |
| 30010248 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1528044179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 BULLOCK RD",
"city": "NORWICH",
"state": "VT",
"postal_code": "050559791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 BULLOCK RD",
"city": "NORWICH",
"state": "VT",
"postal_code": "050559791",
"telephone_number": "802-649-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDELMAN",
"first_name": "BOB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "089-0000100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006699",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30010248",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwich, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.