Individual provider Active NPI

Kathleen E Baroody, LCMHC, NCC

  • Mental Health Counselor
  • Rutland, VT
National Provider Identifier
1619502648
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0134451 Issued in VT
Practice address
77 Grove St
Rutland, VT 05701-3403
Phone
(843) 379-9675
NPI assigned
Mar 10, 2020
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 068.0134451 VT Primary

Addresses

Primary practice location

77 Grove St
Rutland, VT 05701-3403

Mailing address

187 Countryside Dr
Rutland, VT 05701-9313
Phone (407) 312-9781

Other identifiers 2

IdentifierTypeStateIssuer
6709102MedicaidVT
6709820MedicaidVT

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
I20250410001714 VT Practitioner - Mental Health Counselor 7810411907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

187 Countryside Dr
Rutland, VT 05701-9313

77 Grove St
Suite 107
Rutland, VT 05701-3403
Phone (802) 379-9675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068.0134451VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baroody Counseling PLLC Mental Health CurrentSince Feb 3, 2025 Accepting new patients
United Counseling Service of Bennington County, Inc. PastSince Apr 1, 2020 Accepting new patients

Locations

77 Grove St
Ste 107
Rutland, VT 05701
Phone (802) 379-9675

Organizations & group practices 2

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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1619502648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 COUNTRYSIDE DR",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057019313",
            "telephone_number": "407-312-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 GROVE ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013403",
            "telephone_number": "843-379-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAROODY",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LCMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6709102",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6709820",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.