Individual provider Active NPI

Cathleen Marie Kwiecinski, M.A., LCMHC

  • Mental Health Counselor
  • Woodstock, VT
National Provider Identifier
1841445947
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068-0000411 Issued in VT
Practice address
119 Westmont Way
Woodstock, VT 05091-3462
Phone
(802) 672-5589
NPI assigned
Nov 18, 2008
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068-0000411 VT Primary

Addresses

Primary practice location

119 Westmont Way
Woodstock, VT 05091-3462

Mailing address

119 Westmont Way
Woodstock, VT 05091-3462
Phone (802) 672-5589

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
I20240510001288 VT Practitioner - Mental Health Counselor 3678914462 Practice locations: Woodstock, VT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
068-0000411VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1841445947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WESTMONT WAY",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "050913462",
            "telephone_number": "802-672-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WESTMONT WAY",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "050913462",
            "telephone_number": "802-672-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIECINSKI",
        "first_name": "CATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.A., LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, VT

Sources for this page

Verify at the official NPI Registry.