Angie Amy Starr, MA, LCMHC

Individual provider Active NPI Mental Health Counselor · Jay, VT

NPI 1801473442 · NPPES record last updated Oct 21, 2024

Key facts

NPI
1801473442
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
068.0134309 (VT)
Practice address
3767 VT Route 242
Jay, VT 05859-9821
Phone
(802) 793-0875
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

926 Falls Rd
Shelburne, VT 05482-6213
Phone (802) 793-0875

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20241106000640 VT Practitioner - Mental Health Counselor 6305379942 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
068.0134309VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Angie Starr Counseling, LLC Current
since Sep 4, 2024
Accepting new patients

Locations

316 Main St
Ste 201
Newport, VT 05855
Phone (802) 487-9082

928 Falls Rd
Shelburne, VT 05482
Phone (802) 793-0875

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0134309 VT Yes

Addresses

Primary practice location

3767 VT Route 242
Jay, VT 05859-9821

Mailing address

3767 VT Route 242
Jay, VT 05859-9821
Phone (802) 793-0875

Other practice location 1

928 Falls Rd
Shelburne, VT 05482-6213
Phone (802) 793-0875

Other providers in Jay, VT

All providers in Jay, VT · Mental Health Counselor in Vermont

Sources for this page

Verify at the official NPI Registry.