Individual provider Active NPI

Gladys Barnes, LADC, LCMHC

  • Mental Health Counselor
  • Isle la Motte, VT
National Provider Identifier
1831626563
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0133650 Issued in VT
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

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1030447MedicaidVT

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
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

LicenseStateTypeSpecialty
151.0134071VTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Solution Focused Therapy Mental Health CurrentSince Mar 3, 2024 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

Verify at the official NPI Registry.