Robert Frederick Wubbenhorst, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0072017 Issued in VT

Practice address

246 Flamstead Rd
Chester, VT 05143-8893

Phone

(802) 428-2008

NPI assigned

May 26, 2011

Last updated

May 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: No
• 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.

• United Counseling Service of Bennington County, Inc.

  • Clinic/Center
  • Bennington, VT
  • NPI 1427104132
  Medicare reassignment NPD

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1760775571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 FLAMSTEAD RD",
            "city": "CHESTER",
            "state": "VT",
            "postal_code": "051438893",
            "telephone_number": "802-428-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FLAMSTEAD RD",
            "city": "CHESTER",
            "state": "VT",
            "postal_code": "051438893",
            "telephone_number": "802-428-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUBBENHORST",
        "first_name": "ROBERT",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0072017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha S Stretton, PH.D.
• Susan Lemei MD PC
• Brian Michael Timura, M.D.
• Town of Chester
• Lisa L Watson, RDH

• Mental Health Counselor in Chester, VT
• Providers in Chester, 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 May 26, 2011; 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.