Faith Case

Individual provider Active NPI Mental Health Counselor · Newport, VT

NPI 1669956421 · NPPES record last updated Feb 8, 2019

Key facts

NPI
1669956421
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
0680116198 (VT)
Practice address
578 E Main St
Newport, VT 05855
Phone
(802) 323-3421
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0680116198VTMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X 0680116198 VT Yes

Addresses

Primary practice location

578 E Main St
Newport, VT 05855

Mailing address

4052 Holland Pond Rd
Derby Line, VT 05830-9030
Phone (802) 323-3421

Other practice location 1

181 Crawford Road
Derby, VT 05829
Phone (802) 334-6744

Other providers in Newport, VT

All providers in Newport, VT · Mental Health Counselor in Vermont

Sources for this page

Verify at the official NPI Registry.