NPIMap

Organization Active NPI

Washington County Mental Health Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Barre, VT
National Provider Identifier
1881608453
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
WASHINGTON COUNTY MENTAL HEALTH SERVICES, INC.
Practice address
260 Beckley Hill Rd
Barre, VT 05641-9080
Phone
(802) 476-1480
Fax
(802) 479-4095
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Ms. Mary Moulton
Title
Ceo
Phone
(802) 229-1399

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X

Addresses

Primary practice location

260 Beckley Hill Rd
Barre, VT 05641-9080

Mailing address

PO Box 647
Montpelier, VT 05601-0647
Phone (802) 229-1399

Other practice location 1

4610 Vt Route 12
Berlin, VT 05602-9697
Phone (802) 229-2331

Other practice location 2

22 Turtle Rock Dr
Barre, VT 05641-9110
Phone (802) 229-2331

Other identifiers 2

IdentifierTypeStateIssuer
1009759MedicaidVT
1006176MedicaidVT

Other names 2

  • Children Youth & Family Services Other name
  • Washington County Mental Health - Turtle Rock Other name

National Provider Directory

National Provider Directory
Tax ID family
Washington County Mental Health Services Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

4610 Vt Route 12
Berlin, VT 05602
Phone (802) 229-2331

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1881608453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056010647",
            "telephone_number": "802-229-1399",
            "fax_number": "802-223-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 BECKLEY HILL RD",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056419080",
            "telephone_number": "802-476-1480",
            "fax_number": "802-479-4095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4610 Vt Route 12",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "VT",
            "postal_code": "056029697",
            "country_code": "US",
            "telephone_number": "802-229-2331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Turtle Rock Dr",
            "address_purpose": "LOCATION",
            "city": "Barre",
            "state": "VT",
            "postal_code": "056419110",
            "country_code": "US",
            "telephone_number": "802-229-2331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WASHINGTON COUNTY MENTAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "802-229-1399",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009759",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006176",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children Youth & Family Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Washington County Mental Health - Turtle Rock",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Barre, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.