Active NPI
Kristi Yetsko, LADC, LCMHC
- Counselor
- Newport, VT
National Provider Identifier
1659423150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 000271
- Practice address
- 55 Seymour Lane
Newport, VT 05855 - Phone
- (802) 334-5246
- Fax
- (802) 334-1093
- NPI assigned
- Jan 17, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 000271 | VT | Primary |
Addresses
Primary practice location
55 Seymour Lane
Newport, VT 05855
Mailing address
3444 Chilafoux Rd
PO Box 99
West Charleston, VT 05872-0099
Phone (802) 754-6516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000271 | VT | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659423150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3444 CHILAFOUX RD",
"address_2": "PO BOX 99",
"city": "WEST CHARLESTON",
"state": "VT",
"postal_code": "058720099",
"telephone_number": "802-754-6516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 SEYMOUR LANE",
"city": "NEWPORT",
"state": "VT",
"postal_code": "05855",
"telephone_number": "802-334-5246",
"fax_number": "802-334-1093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YETSKO",
"first_name": "KRISTI",
"credential": "LADC, LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VT",
"license": "000271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.