Individual provider Active NPI

Simone Arnold, VT 068.0135424

  • Mental Health Counselor
  • Worcester, VT
National Provider Identifier
1528779170
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
097.0134717 Issued in VT
Practice address
83 Eagle Ledge Rd
Worcester, VT 05682-9617
Phone
(802) 431-7155
Fax
(802) 318-4187
NPI assigned
Dec 5, 2022
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 097.0134717 VT Primary

Addresses

Primary practice location

83 Eagle Ledge Rd
Worcester, VT 05682-9617

Mailing address

83 Eagle Ledge Rd
Worcester, VT 05682-9617
Phone (802) 431-7155

Other names 1

  • Simone Arnold Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250117001812 VT Practitioner - Mental Health Counselor 2264961366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

83 Eagle Ledge Rd
Worcester, VT 05682-9617
Phone (802) 431-7155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097.0134717VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hero's Journey Counseling LLC CurrentSince Sep 1, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1528779170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 EAGLE LEDGE RD",
            "city": "WORCESTER",
            "state": "VT",
            "postal_code": "056829617",
            "telephone_number": "802-431-7155",
            "fax_number": "802-318-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 EAGLE LEDGE RD",
            "city": "WORCESTER",
            "state": "VT",
            "postal_code": "056829617",
            "telephone_number": "802-431-7155",
            "fax_number": "802-318-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "SIMONE",
        "credential": "VT 068.0135424",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "097.0134717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMONE",
            "last_name": "ARNOLD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Worcester, VT

Sources for this page

Verify at the official NPI Registry.