Shirkshire Counseling PLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0115546 Issued in VT

Legal business name

SHIRKSHIRE COUNSELING PLC

Practice address

160 Benmont Ave Ste 31
Bennington, VT 05201-1899

Phone

(802) 733-5566

NPI assigned

Feb 5, 2018

Organization subpart

No

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

Authorized official

Name

Kristi Pepoon, LADC, LICSWNPI 1790207504

Title

Owner

Phone

(802) 733-5566

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristi Lynn Pepoon, MSW, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Bennington, VT
  • NPI 1790207504
  Medicare reassignment NPD Authorized official
• Nels Andreas Kloster, MD

  • Psychiatry Physician
  • Bennington, VT
  • NPI 1952354680
  NPD (past)

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1649779679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2092 EAST RD",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052018270",
            "telephone_number": "802-733-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BENMONT AVE STE 31",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011899",
            "telephone_number": "802-733-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRKSHIRE COUNSELING PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "PEPOON",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-733-5566",
        "authorized_official_credential": "LADC, LICSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151.0124428",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0115546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Elaine Shay, SLP, CCC-SP
• Andrew I Shedden, MD
• Shepley Psychotherapy
• Meghan Sherman
• Robert Francis Sherman Jr., PHARMD
• Rebecca Lyn Shuler
• Erin Shulman
• Thomas Simek, PSYCHOLOGIST-MA
• David M Sischy, M.D.
• Michael Edward Sleeman, D.M.D.

• Clinical Social Worker in Bennington, VT
• Providers in Bennington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.