Kary Ann Bennett, M.A.
Individual provider Active NPI Mental Health Counselor · Stowe, VT
NPI 1699954487 · NPPES record last updated Oct 11, 2016
Key facts
- NPI
- 1699954487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 068-0000751 (VT)
- Practice address
- 56 Old Farm Rd
Stowe, VT 05672-4248 - Phone
- (802) 343-4796
- Fax
- (802) 888-2244
- NPI assigned
- Oct 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Feb 9, 2024 through Feb 9, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068-0000751 | VT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integral Wellness, LLC | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068-0000751 | VT | Yes |
Addresses
Primary practice location
56 Old Farm Rd
Stowe, VT 05672-4248
Mailing address
PO Box 849
Stowe, VT 05672-0849
Phone (802) 343-4796
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015274 | Medicaid | VT |
Other providers in Stowe, VT
- Kirsten A Alexander
- Christopher P Altadonna
- Robert Burns Arnot
- Backroads Physical Therapy & Wellness PLC
- Robert Charles Bauman
- Laura Kolomiec Biron
- David M. Bisbee
- Jasmine Marie Bombard
- BPS Health LLC
- Center for Addiction Recognition Treatment Education and Recovery Inc
All providers in Stowe, VT · Mental Health Counselor in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.