Individual provider Active NPI

M. Kathryn Marshall, LCMHC LADC

  • Mental Health Counselor
  • Vershire, VT
National Provider Identifier
1609218254
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0133246 Issued in VT
Practice address
315 Goose Green Rd
Vershire, VT 05079-9639
Phone
(802) 281-9485
NPI assigned
Jul 24, 2013
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2201 NH
Mental Health Counselor 101YM0800X 068.0133246 VT Primary

Addresses

Primary practice location

315 Goose Green Rd
Vershire, VT 05079-9639

Mailing address

315 Goose Green Rd
Vershire, VT 05079-9639
Phone (802) 281-9485

Other identifiers 1

IdentifierTypeStateIssuer
1028103MedicaidVT

Other names 1

  • Mary K Marshall Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20240517000777 NH Practitioner - Mental Health Counselor 5799126066 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Halo Educational Systems LLC. Addiction (Substance Use Disorder) CurrentSince Apr 2, 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": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1609218254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 GOOSE GREEN RD",
            "city": "VERSHIRE",
            "state": "VT",
            "postal_code": "050799639",
            "telephone_number": "802-281-9485",
            "fax_number": "855-644-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 GOOSE GREEN RD",
            "city": "VERSHIRE",
            "state": "VT",
            "postal_code": "050799639",
            "telephone_number": "802-281-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "M.",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "LCMHC LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2201",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0133246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028103",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MARSHALL",
            "middle_name": "K",
            "credential": "LCMHC, LADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vershire, VT

Sources for this page

Verify at the official NPI Registry.