Individual provider Active NPI

Marybeth Caseiro, M.S.

  • Mental Health Counselor
  • Brattleboro, VT
National Provider Identifier
1659475333
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068-0000342 Issued in VT
Practice address
229 Western Ave
Brattleboro, VT 05301-6589
Phone
(802) 258-4758
Fax
(802) 254-7388
NPI assigned
Sep 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 068-0000342 VT Primary

Addresses

Primary practice location

229 Western Ave
Brattleboro, VT 05301-6589

Mailing address

229 Western Ave
Brattleboro, VT 05301-6589
Phone (802) 258-4758

Other identifiers 2

IdentifierTypeStateIssuer
1010008MedicaidVT
30422892MedicaidNH

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
068-0000342VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659475333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 WESTERN AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016589",
            "telephone_number": "802-258-4758",
            "fax_number": "802-254-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 WESTERN AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016589",
            "telephone_number": "802-258-4758",
            "fax_number": "802-254-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEIRO",
        "first_name": "MARYBETH",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010008",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30422892",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, 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.

Verify at the official NPI Registry.