Matthew Christopher Kirby

Individual provider Active NPI Professional Counselor · St Johnsbury, VT

NPI 1851440002 · NPPES record last updated Aug 21, 2024

Key facts

NPI
1851440002
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
15079 (NC)
Practice address
1129 Main St
St Johnsbury, VT 05819-2601
Phone
(828) 506-9979
Fax
(828) 787-8183
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
15079NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nek Family Counseling Center Mental Health Current Accepting new patients
Plott Balsam Mental Health Professional Current Accepting new patients
Matthew Kirby Professional Current Accepting new patients
Jackson County Public Schools Past
since Sep 5, 2023
Accepting new patients

Locations

1129 Main St
St Johnsbury, VT 05819
Phone (802) 535-9814

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X 15079 NC Yes

Addresses

Primary practice location

1129 Main St
St Johnsbury, VT 05819-2601

Mailing address

1129 Main St
St Johnsbury, VT 05819-2601
Phone (828) 506-9979

Other practice location 1

65 Merrimon Ave
Asheville, NC 28801-2322
Phone (828) 506-9799

Other providers in St Johnsbury, VT

All providers in St Johnsbury, VT · Professional Counselor in Vermont

Sources for this page

Verify at the official NPI Registry.