Individual provider Active NPI

Karen L Kurrle, MA

  • Psychologist
  • Berlin, VT
National Provider Identifier
1720187735
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
047.0000707 Issued in VT
Practice address
286 Hospital Loop
Berlin, VT 05602-9523
Phone
(802) 229-0591
Fax
(802) 223-8623
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychologist 103T00000X 047.0000707 VT Primary

Addresses

Primary practice location

286 Hospital Loop
Berlin, VT 05602-9523

Mailing address

PO Box 647
Montpelier, VT 05601-0647
Phone (802) 229-0591

Other identifiers 3

IdentifierTypeStateIssuer
1009399MedicaidVT
2158132OtherVTCIGNA
00059391OtherVTBC/BS OF 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208001582 VT Practitioner - Mental Health Counselor 8628411485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
047.0000707VTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Mental Health Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Washington County Mental Health Services, Inc. Mental Health Current Accepting new patients
Washington County Mental Health Services, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

286 Hospital Loop
Berlin, VT 05602
Phone (802) 223-1527

174 Hospital Loop
Berlin, VT 05602
Phone (802) 223-6328

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1720187735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056010647",
            "telephone_number": "802-229-0591",
            "fax_number": "802-223-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 HOSPITAL LOOP",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029523",
            "telephone_number": "802-229-0591",
            "fax_number": "802-223-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURRLE",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "047.0000707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009399",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2158132",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF VT",
            "identifier": "00059391",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

Verify at the official NPI Registry.