Individual provider Active NPI

Holly D. Shephard, LCMHC

  • Mental Health Counselor
  • Berlin, VT
National Provider Identifier
1629829965
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0135813 Issued in VT
Practice address
286 Hospital Loop
Berlin, VT 05602-9523
Phone
(802) 229-0591
Fax
(802) 223-3667
NPI assigned
Mar 27, 2024
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 068.0135813 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

23 Summer St
Barre, VT 05641-3741
Phone (802) 479-4055

Other practice location 2

9 Heaton St
Montpelier, VT 05602-2489
Phone (802) 223-6328

Other practice location 3

174 Hospital Loop
Berlin, VT 05602-9105
Phone (802) 479-4083

Other names 1

  • Holly D. Strippe Former name

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
I20240502002297 VT Practitioner - Mental Health Counselor 4587004908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

286 Hospital Loop
Berlin, VT 05602-9523
Phone (802) 229-0591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068.0135813VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Mental Health Services, Inc. Mental Health CurrentSince Mar 27, 2024 Accepting new patients
Washington County Mental Health Services, Inc. Mental Health CurrentSince Mar 27, 2024 Accepting new patients

Locations

23 Summer St
Barre, VT 05641
Phone (802) 479-4055

174 Hospital Loop
Berlin, VT 05602
Phone (802) 223-6328

286 Hospital Loop
Berlin, VT 05602
Phone (802) 223-1527

9 Heaton St
Montpelier, VT 05602
Phone (802) 223-6238

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": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1629829965",
    "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": "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": "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"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "SHEPHARD",
        "first_name": "HOLLY",
        "middle_name": "D.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0135813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "STRIPPE",
            "middle_name": "D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berlin, VT

Sources for this page

Verify at the official NPI Registry.