Active NPI
Clarrissa A Stevens, LCMHC
- Mental Health Counselor
- Berlin, VT
National Provider Identifier
1629793112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068.0134874
- Practice address
- 286 Hospital Loop
Berlin, VT 05602-9523 - Phone
- (802) 229-0591
- Fax
- (802) 223-3667
- NPI assigned
- Oct 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068.0134874 | VT | Primary |
Addresses
Primary practice location
286 Hospital Loop
Berlin, VT 05602-9523
Mailing address
PO Box 647
Montpelier, VT 05601-0647
Phone (802) 229-0591
Other practice location 1
50 Granview Dr
Barre, VT 05641-5113
Phone (802) 479-2502
Other practice location 2
260 Beckley Hill Rd
Barre, VT 05641-9080
Phone (802) 476-1480
Other practice location 3
13 Kynoch Ave
Barre, VT 05641-4623
Phone (802) 479-1339
Other practice location 4
23 Summer St
Barre, VT 05641-3741
Phone (802) 479-4055
Other practice location 5
579 S Barre Rd
Barre, VT 05641-8107
Phone (802) 479-0012
Other practice location 6
34 Barre St
Montpelier, VT 05602-3510
Phone (802) 828-3983
Other practice location 7
174 Hospital Loop
Berlin, VT 05602-9105
Phone (802) 479-4083
Other practice location 8
9 Heaton St
Montpelier, VT 05602-2489
Phone (802) 223-6328
Other names 1
- Clare A Stevens
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240108003800 | VT | Practitioner - Mental Health Counselor | 6204287956 | Practice locations: Barre, VT |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
17 Hersey Dr
Barre, VT 05641-3107
Phone (802) 591-1721
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1629793112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 647",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056010647",
"telephone_number": "802-229-0591",
"fax_number": "802-223-3667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 HOSPITAL LOOP",
"city": "BERLIN",
"state": "VT",
"postal_code": "056029523",
"telephone_number": "802-229-0591",
"fax_number": "802-223-3667"
}
],
"practiceLocations": [
{
"address_1": "50 Granview Dr",
"address_purpose": "LOCATION",
"city": "Barre",
"state": "VT",
"postal_code": "056415113",
"country_code": "US",
"telephone_number": "802-479-2502",
"fax_number": "802-479-4056",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "260 Beckley Hill Rd",
"address_purpose": "LOCATION",
"city": "Barre",
"state": "VT",
"postal_code": "056419080",
"country_code": "US",
"telephone_number": "802-476-1480",
"fax_number": "802-479-4095",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13 Kynoch Ave",
"address_purpose": "LOCATION",
"city": "Barre",
"state": "VT",
"postal_code": "056414623",
"country_code": "US",
"telephone_number": "802-479-1339",
"fax_number": "802-479-4090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23 Summer St",
"address_purpose": "LOCATION",
"city": "Barre",
"state": "VT",
"postal_code": "056413741",
"country_code": "US",
"telephone_number": "802-479-4055",
"fax_number": "802-661-5699",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "579 S Barre Rd",
"address_purpose": "LOCATION",
"city": "Barre",
"state": "VT",
"postal_code": "056418107",
"country_code": "US",
"telephone_number": "802-479-0012",
"fax_number": "802-476-6445",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "34 Barre St",
"address_purpose": "LOCATION",
"city": "Montpelier",
"state": "VT",
"postal_code": "056023510",
"country_code": "US",
"telephone_number": "802-828-3983",
"fax_number": "802-223-0842",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "174 Hospital Loop",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "VT",
"postal_code": "056029105",
"country_code": "US",
"telephone_number": "802-479-4083",
"fax_number": "802-476-1476",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9 Heaton St",
"address_purpose": "LOCATION",
"city": "Montpelier",
"state": "VT",
"postal_code": "056022489",
"country_code": "US",
"telephone_number": "802-223-6328",
"fax_number": "802-229-8004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "CLARRISSA",
"middle_name": "A",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-06",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068.0134874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLARE",
"last_name": "STEVENS",
"middle_name": "A",
"credential": "LCMHC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Berlin, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.