Individual provider Active NPI

Lisa Kate, LAC, LCMHC

  • Mental Health Counselor
  • Brattleboro, VT
National Provider Identifier
1619035847
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0000493 Issued in VT
Practice address
11 Cottage St
Brattleboro, VT 05301-6560
Phone
(717) 706-4826
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X UO2575 MD
Acupuncturist 171100000X 091.0134085 VT
Mental Health Counselor 101YM0800X 068.0000493 VT Primary

Addresses

Primary practice location

11 Cottage St
Brattleboro, VT 05301-6560

Mailing address

11 Cottage St
Brattleboro, VT 05301-6560
Phone (717) 706-4826

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
I20240911002614 VT Practitioner - Mental Health Counselor 8628516879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11 Cottage St
Brattleboro, VT 05301-6560
Phone (717) 706-4826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
UO2575MDMDAcupuncturist
091.0134085VTMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Kate Lcmhc LLC CurrentSince Jul 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1619035847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COTTAGE ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016560",
            "telephone_number": "717-706-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COTTAGE ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016560",
            "telephone_number": "717-706-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATE",
        "first_name": "LISA",
        "credential": "LAC, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "UO2575",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VT",
            "license": "091.0134085",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0000493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.