Gretchen Hoyum
Individual provider Active NPI Marriage & Family Therapist · Randolph, VT
NPI 1801660733 · NPPES record last updated Aug 13, 2024
Key facts
- NPI
- 1801660733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1000134273 (VT)
- Practice address
- 44 S Main St
Randolph, VT 05060-1381 - Phone
- (802) 728-7329
- NPI assigned
- Nov 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240124001241 | VT | Practitioner - Marriage and Family Therapist | 1658724851 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1000134273 | VT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gifford Health Care, Inc | Current |
Accepting new patients | |
| Gifford Health Care, Inc | Current |
Accepting new patients |
Locations
1823 Vt Rte 107
Bethel, VT 05032
Phone (802) 234-2114
44 S Main St
Randolph, VT 05060
Phone (802) 728-4441
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1000134273 | VT | Yes |
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
Other providers in Randolph, VT
- Kristen Hildebrand
- Gary D. Hillard
- Christopher Edward Hollis
- Howard Hood
- Leslie Claire Howard-McIntyre
- Wanda Jackson
- Kristin Jarmy
- Jessica K. Wright, Lcmhc
- Elizabeth H. Jewett
- Mark D. Jewett
All providers in Randolph, VT · Marriage & Family Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.