Katina Idol, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7855 Issued in MA

Practice address

72 Harrel St
Morrisville, VT 05661-8526

Phone

(802) 888-5026

NPI assigned

Dec 3, 2015

Last updated

Sep 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lamoille County Mental Health Services

  • Community/Behavioral Health Agency
  • Morrisville, VT
  • NPI 1396891842
  Medicare reassignment NPD
• Lamoille County Health Mental Health Services

  • Community/Behavioral Health Agency
  • Morrisville, VT
  • NPI 1144347824
  NPD (past)

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1740655679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 HARREL ST",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 HARREL ST",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618526",
            "telephone_number": "802-888-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDOL",
        "first_name": "KATINA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tesla Nichol Hubbard, MS
• Bryan M Huber, MD
• Gregory James Hufford
• Deanna Hurley, OTR/L
• Grace Hurley, MA
• Patricia I Jaqua, MD
• Benjamin Robert Jefka, LICSW
• Lauren Jeanne Johnson, PSYCHOLOGIST-MASTER
• Stephanie Johnson, BA
• Alexander C. Johnston, PMHNP

• Mental Health Counselor in Morrisville, VT
• Providers in Morrisville, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.

Verify at the official NPI Registry.