Kristin C Sopronyi, LIC. PSY. MS

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

047-0091776 Issued in VT

Practice address

525 Hercules Dr
Suite 1a
Colchester, VT 05446-5993

Phone

(802) 264-5333

Fax

(802) 264-5338

NPI assigned

Jan 12, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwestern Counseling & Support Services Inc

  • Community/Behavioral Health Agency
  • Saint Albans, VT
  • NPI 1063501476
  Medicare reassignment NPD
• Evolution Psychotherapy, PLLC

  • Mental Health Counselor
  • Colchester, VT
  • NPI 1720629462
  NPD (past)
• Sunrise Supportive Counseling LLC

  • Clinical Social Worker
  • South Burlington, VT
  • NPI 1366087488
  NPD (past)

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1689811747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 HERCULES DR",
            "address_2": "SUITE 1A",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465993",
            "telephone_number": "802-264-5333",
            "fax_number": "802-264-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 HERCULES DR",
            "address_2": "SUITE 1A",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465993",
            "telephone_number": "802-264-5333",
            "fax_number": "802-264-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPRONYI",
        "first_name": "KRISTIN",
        "middle_name": "C",
        "credential": "LIC. PSY. MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "047-0091776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021740",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Braelyn Simms
• Shannon Sixt, OTR/L
• Laura Suzanne Smith, MSW
• Meghan Sue Smith, MPT
• Jennifer H Smithers, PT
• Adrienne Soutiere, PHARM.D
• Special Services Transportation Agency
• Specialists in Ultrasound, Inc.
• Kenneth Gary Spencer, RPH
• Lynn Therese Spencer, M.S., CCC-SLP

• Clinical Psychologist in Colchester, VT
• Providers in Colchester, VT by specialty
• Clinical Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.