Individual provider Active NPI

Hannah Kretvix, LADC

  • Clinical Social Worker
  • Winooski, VT
National Provider Identifier
1922648369
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.134472 Issued in VT
Practice address
383 E Allen St Apt B
Winooski, VT 05404-1560
Phone
(802) 345-7785
Fax
(802) 488-6919
NPI assigned
Jan 14, 2020
Last updated
Jan 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 151-0134088 VT
Clinical Social Worker 1041C0700X 089.134472 VT Primary

Addresses

Primary practice location

383 E Allen St Apt B
Winooski, VT 05404-1560

Mailing address

383 E Allen St Apt B
Winooski, VT 05404-1560
Phone (802) 345-7785

Other identifiers 1

IdentifierTypeStateIssuer
6702805MedicaidVT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hannah@kretvixcounseling.com Direct

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

State licenses

LicenseStateTypeSpecialty
151-0134088VTMDAddiction (Substance Use Disorder) Counselor
089.134472VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hannah Kretvix Counseling, LLC Clinical CurrentSince Jan 17, 2022 Accepting new patients
Howard Center Inc PastSince Jan 1, 2020 Accepting new patients
Howard Center Inc PastSince Jan 1, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1922648369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 E ALLEN ST APT B",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041560",
            "telephone_number": "802-345-7785",
            "fax_number": "802-488-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 E ALLEN ST APT B",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041560",
            "telephone_number": "802-345-7785",
            "fax_number": "802-488-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETVIX",
        "first_name": "HANNAH",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151-0134088",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.134472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6702805",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hannah@kretvixcounseling.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax",
            "address_1": "383 E Allen St Apt B",
            "city": "Winooski",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054041560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winooski, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.