NPIMap

Organization Active NPI

CH MH Services (VT), LLC

  • Adolescent and Children Mental Health Clinic/Center
  • South Burlington, VT
National Provider Identifier
1629882170
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CH MH SERVICES (VT), LLC
Practice address
30 Kimball Ave Ste 303
South Burlington, VT 05403-6825
Phone
(986) 206-0414
NPI assigned
Feb 5, 2025
Organization subpart
Yes
Parent organization
CHARLIE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Charie Bryant
Title
VP, RCM
Phone
(803) 955-6655

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

30 Kimball Ave Ste 303
South Burlington, VT 05403-6825

Mailing address

169 Madison Ave Ste 15011
New York, NY 10016-5101
Phone (406) 219-7835

Other names 1

  • Charlie Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CH MH Services la LLC49 organizations share this tax ID, including this one
Part of
CH MH Services la LLC

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Locations

30 Kimball Ave
Ste 303
South Burlington, VT 05403

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1629882170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 15011",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "406-219-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 KIMBALL AVE STE 303",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036825",
            "telephone_number": "986-206-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CH MH SERVICES (VT), LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLIE HEALTH",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "CHARIE",
        "authorized_official_title_or_position": "VP, RCM",
        "authorized_official_telephone_number": "803-955-6655"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlie Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Charlie Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.