Active NPI
Gladys Barnes, LADC, LCMHC
- Mental Health Counselor
- Isle la Motte, VT
National Provider Identifier
1831626563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068.0133650
- Practice address
- 1724 Main St
Isle la Motte, VT 05463-9823 - Phone
- (802) 928-3020
- Fax
- (802) 928-3045
- NPI assigned
- May 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068.0133650 | VT | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 151.0134071 | VT |
Addresses
Primary practice location
1724 Main St
Isle la Motte, VT 05463-9823
Mailing address
1724 Main St
Isle la Motte, VT 05463-9823
Phone (802) 928-3020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030447 | Medicaid | VT |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240517002535 | VT | Practitioner - Mental Health Counselor | 5395186597 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1724 Main St
Isle la Motte, VT 05463-9823
Phone (802) 928-3020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151.0134071 | VT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solution Focused Therapy | Mental Health | Current | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1831626563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 MAIN ST",
"city": "ISLE LA MOTTE",
"state": "VT",
"postal_code": "054639823",
"telephone_number": "802-928-3020",
"fax_number": "802-928-3045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 MAIN ST",
"city": "ISLE LA MOTTE",
"state": "VT",
"postal_code": "054639823",
"telephone_number": "802-928-3020",
"fax_number": "802-928-3045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "GLADYS",
"credential": "LADC, LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-12",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068.0133650",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VT",
"license": "151.0134071",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030447",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Isle la Motte, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.