Active NPI
Caroline Siraj Paletta, MA LCMHC RDT
- Mental Health Counselor
- Springfield, VT
National Provider Identifier
1922202266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0680000275
- Practice address
- 160 Wall Street
Springfield, VT 05156-3528 - Phone
- (435) 659-0761
- Fax
- (802) 885-1600
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0680000275 | VT | Primary |
Addresses
Primary practice location
160 Wall Street
Springfield, VT 05156-3528
Mailing address
1009 Popple Dungeon Road
Chester, VT 05143-8931
Phone (802) 875-4592
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007755 | Medicaid | VT | |
| 29525 | Other | VT | BCBS OF VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0680000275 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922202266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 POPPLE DUNGEON ROAD",
"city": "CHESTER",
"state": "VT",
"postal_code": "051438931",
"telephone_number": "802-875-4592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 WALL STREET",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "051563528",
"telephone_number": "435-659-0761",
"fax_number": "802-885-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALETTA",
"first_name": "CAROLINE",
"middle_name": "SIRAJ",
"name_prefix": "Ms.",
"credential": "MA LCMHC RDT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "0680000275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007755",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF VT",
"identifier": "29525",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.