Individual provider Active NPI

Gretchen Hoyum

  • Marriage & Family Therapist
  • Randolph, VT
National Provider Identifier
1801660733
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1000134273 Issued in VT
Practice address
44 S Main St
Randolph, VT 05060-1381
Phone
(802) 728-7329
NPI assigned
Nov 10, 2023
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1000134273 VT Primary

Addresses

Primary practice location

44 S Main St
Randolph, VT 05060-1381

Mailing address

213 Elm St Apt 5
Montpelier, VT 05602-2271
Phone (360) 689-4259

Other practice location 1

213 Elm St Apt 5
Montpelier, VT 05602-2271
Phone (360) 689-4259

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
I20240124001241 VT Practitioner - Marriage and Family Therapist 1658724851 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1000134273VTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gifford Health Care, Inc CurrentSince Jan 1, 2024 Accepting new patients
Gifford Health Care, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

1823 Vt Rte 107
Bethel, VT 05032
Phone (802) 234-5289

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1801660733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 ELM ST APT 5",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022271",
            "telephone_number": "360-689-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 S MAIN ST",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050601381",
            "telephone_number": "802-728-7329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 Elm St Apt 5",
            "address_purpose": "LOCATION",
            "city": "Montpelier",
            "state": "VT",
            "postal_code": "056022271",
            "country_code": "US",
            "telephone_number": "360-689-4259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOYUM",
        "first_name": "GRETCHEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VT",
            "license": "1000134273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, VT

Sources for this page

Verify at the official NPI Registry.