Individual provider Active NPI

Brenda Tighe

  • Mental Health Counselor
  • Derby, VT
National Provider Identifier
1861804833
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0680073876 Issued in VT
Practice address
181 Crawford Road
Derby, VT 05829-0000
Phone
(802) 334-6744
Fax
(802) 334-7340
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2014

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 0680073876 VT Primary

Addresses

Primary practice location

181 Crawford Road
Derby, VT 05829-0000

Mailing address

PO Box 724
Newport, VT 05855-0724
Phone (802) 334-6744

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
I20240113000033 VT Practitioner - Mental Health Counselor 8325490428 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0680073876VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Kingdom Human Services Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

2225 Portland St
St Johnsbury, VT 05819
Phone (802) 748-3181

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1861804833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058550724",
            "telephone_number": "802-334-6744",
            "fax_number": "802-334-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 CRAWFORD ROAD",
            "city": "DERBY",
            "state": "VT",
            "postal_code": "058290000",
            "telephone_number": "802-334-6744",
            "fax_number": "802-334-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGHE",
        "first_name": "BRENDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680073876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, VT

Sources for this page

Verify at the official NPI Registry.