Organization Active NPI

KDH Counseling PLLC

  • Clinical Social Worker
  • Manchester Center, VT
National Provider Identifier
1528551033
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0000709 Issued in VT
Legal business name
KDH COUNSELING PLLC
Practice address
5188 Main St
Manchester Center, VT 05255
Phone
(802) 367-3165
NPI assigned
Jun 8, 2018
Last updated
Aug 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Kristyn HarringtonNPI 1265925770
Title
Owner
Phone
(802) 367-3165

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 151.0127406 VT
Clinical Social Worker 1041C0700X 089.0000709 VT Primary

Addresses

Primary practice location

5188 Main St
Manchester Center, VT 05255

Mailing address

PO Box 2444
Manchester Center, VT 05255-2444
Phone (802) 367-3165

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251126002347 VT Part B Supplier - Clinic/Group Practice 5890287718 Receives reassigned benefits from 1 practitioner
Practice locations: Manchester Center, VT

National Provider Directory

National Provider Directory

Locations

5188 Main St
Manchester Center, VT 05255
Phone (802) 353-6590

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": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1528551033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2444",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052552444",
            "telephone_number": "802-367-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5188 MAIN ST",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "05255",
            "telephone_number": "802-367-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "KRISTYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-367-3165"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151.0127406",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0000709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester Center, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.