Individual provider Active NPI

Neil Herrick, MA

  • Mental Health Counselor
  • Montpelier, VT
National Provider Identifier
1790302552
Registry record updated Jun 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0134232 Issued in VT
Practice address
97 Cedar Hill LN Apt 12
Montpelier, VT 05602-3546
Phone
(802) 730-4676
NPI assigned
Jun 28, 2020
Last updated
Jun 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2020

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 068.0134232 VT Primary

Addresses

Primary practice location

97 Cedar Hill LN Apt 12
Montpelier, VT 05602-3546

Mailing address

97 Cedar Hill LN Apt 12
Montpelier, VT 05602-3546
Phone (802) 730-4676

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Montpelier Direct

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
I20250725001075 VT Order and Referring Only - Mental Health Counselor 5799292728

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
068.0134232VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593302400000",
    "number": "1790302552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 CEDAR HILL LN APT 12",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023546",
            "telephone_number": "802-730-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 CEDAR HILL LN APT 12",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023546",
            "telephone_number": "802-730-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRICK",
        "first_name": "NEIL",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-28",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Montpelier",
            "affiliation": "N",
            "endpointDescription": "Montpelier",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "97 Cedar Hill Ln Apt 12",
            "city": "Montpelier",
            "state": "VT",
            "country_code": "US",
            "postal_code": "056023546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

Verify at the official NPI Registry.