Plott Balsam Mental Health

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PLOTT BALSAM MENTAL HEALTH

Doing business as

Plott Balsam Mental Health

Practice address

1129 Main St
St Johnsbury, VT 05819-2601

Phone

(828) 506-9979

Fax

(828) 787-8183

NPI assigned

Aug 27, 2024

Last updated

Aug 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew C Kirby, LCMHCNPI 1851440002

Title

Owner/Therapist

Phone

(828) 506-9979

Specialties & licenses 1

Addresses

Other names 2

• Plott Balsam Mental Health Doing business as
• Matthew C. Kirby Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Christopher Kirby

  • Professional Counselor
  • St Johnsbury, VT
  • NPI 1851440002
  NPD Authorized official

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1801620562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 MAIN ST",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058192601",
            "telephone_number": "828-506-9979",
            "fax_number": "828-787-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 MAIN ST",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058192601",
            "telephone_number": "828-506-9979",
            "fax_number": "828-787-8183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1129 Main Street",
            "address_purpose": "LOCATION",
            "city": "St. Johnsbury",
            "state": "VT",
            "postal_code": "05819",
            "country_code": "US",
            "telephone_number": "828-506-9979",
            "fax_number": "828-787-8183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLOTT BALSAM MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "828-506-9979",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plott Balsam Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matthew C. Kirby",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stephen J Phipps, M.D.
• Jillian Mae Pickens
• Katie Piet, D.D.S.
• Sharon Rachel Pinard-Sisle, RD
• Planned Parenthood of Northern New England
• Mark Christopher Pluym, M.D.
• Kara Pool-Krok-Horton
• Premier Therapy
• Joseph W Prescott, P.A.-C
• Hannah Marie Prevost, FNP

• Professional Counselor in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Professional Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.