Active NPI
Kate Schirmer-Smith, MS
- Mental Health Counselor
- Brandon, VT
National Provider Identifier
1710047477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0680000642
- Practice address
- 3 Union St
Brandon, VT 05733-1127 - Phone
- (802) 247-3136
- Fax
- (802) 247-3146
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0680000642 | VT | Primary |
Addresses
Primary practice location
3 Union St
Brandon, VT 05733-1127
Mailing address
3 Union St
Brandon, VT 05733-1127
Phone (802) 247-3136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010456 | Medicaid | VT |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240228003778 | VT | Practitioner - Mental Health Counselor | 3173968286 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0680000642 | VT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutland Mental Health Services, Inc. | Current | Accepting new patients |
Locations
78 S Main St
Rutland, VT 05701
Phone (802) 775-2381
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rutland, VT
- NPI 1164417283
VT
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1710047477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 UNION ST",
"city": "BRANDON",
"state": "VT",
"postal_code": "057331127",
"telephone_number": "802-247-3136",
"fax_number": "802-247-3146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 UNION ST",
"city": "BRANDON",
"state": "VT",
"postal_code": "057331127",
"telephone_number": "802-247-3136",
"fax_number": "802-247-3146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIRMER-SMITH",
"first_name": "KATE",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "0680000642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010456",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.