Individual provider Active NPI

Paula Despault, MA, LCMHC

  • Mental Health Counselor
  • Barre, VT
National Provider Identifier
1760666341
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0124127 Issued in VT
Practice address
84 S Main St Ste 3
Barre, VT 05641-4866
Phone
(802) 249-3226
NPI assigned
Dec 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0124127 VT Primary

Addresses

Primary practice location

84 S Main St Ste 3
Barre, VT 05641-4866

Mailing address

84 S Main St Ste 3
Barre, VT 05641-4866
Phone (802) 249-3226

Other practice location 1

44 S Main St
Randolph, VT 05060-1381
Phone (802) 728-2790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 14, 2024 through May 14, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
068.0124127VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760666341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 S MAIN ST STE 3",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414866",
            "telephone_number": "802-249-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 S MAIN ST STE 3",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414866",
            "telephone_number": "802-249-3226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 S Main St",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "VT",
            "postal_code": "050601381",
            "country_code": "US",
            "telephone_number": "802-728-2790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESPAULT",
        "first_name": "PAULA",
        "name_prefix": "Ms.",
        "credential": "MA, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0124127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barre, VT

Sources for this page

Verify at the official NPI Registry.