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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15079 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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 |
Accepting new patients |
Locations
1129 Main St
St Johnsbury, VT 05819
Phone (802) 535-9814
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
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
- Christina Keene
- Connie L Kellogg
- Alexa C Kemeny
- Molly Joan King -Gove
- Kingdom Autism and Behavioral Health, LLC
- Linda S. Kissane
- Alice S. Kitchel
- Julia Kitchens
- Kathleen Knights
- John Eric Koella
All providers in St Johnsbury, VT · Professional Counselor 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 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.