Individual provider Active NPI

Alicia E Gelfant

  • Addiction (Substance Use Disorder) Counselor
  • Randolph, VT
National Provider Identifier
1629522990
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000715 Issued in VT
Practice address
11 N Main St
Randolph, VT 05060-1126
Phone
(802) 728-4466
Fax
(802) 728-4197
NPI assigned
Aug 4, 2016
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000715 VT Primary

Addresses

Primary practice location

11 N Main St
Randolph, VT 05060-1126

Mailing address

594 Rogers Hill Rd
Bradford, VT 05033-9096
Phone (802) 334-6744

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
I20240104001591 VT Practitioner - Mental Health Counselor 7113378191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clara Martin CenterGroup PAC ID 1951395367, 17 clinicians

Practice addresses (Care Compare)

11 N Main St
Randolph, VT 05060-1126
Phone 8027284466236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000715VTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clara Martin Center CurrentSince Jan 1, 2024 Accepting new patients
Clara Martin Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

11 N Main St
Randolph, VT 05060
Phone (802) 223-4156

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": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1629522990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 ROGERS HILL RD",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "050339096",
            "telephone_number": "802-334-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N MAIN ST",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050601126",
            "telephone_number": "802-728-4466",
            "fax_number": "802-728-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELFANT",
        "first_name": "ALICIA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, VT

Sources for this page

Verify at the official NPI Registry.