NPIMap

Individual provider Active NPI

Christopher David Rossey, LADC LCMHC

  • Mental Health Counselor
  • Berlin, VT
National Provider Identifier
1942502349
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0115899 Issued in VT
Practice address
100 Hospitality Drive
Berlin, VT 05641
Phone
(802) 223-4156
Fax
(802) 223-4332
NPI assigned
Nov 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 884 NH
Addiction (Substance Use Disorder) Counselor 101YA0400X 151.0124425 VT
Mental Health Counselor 101YM0800X 777 NH
Mental Health Counselor 101YM0800X 068.0115899 VT Primary

Addresses

Primary practice location

100 Hospitality Drive
Berlin, VT 05641

Mailing address

PO Box 1468
Montpelier, VT 05601-1468
Phone (802) 223-4156

Other identifiers 1

IdentifierTypeStateIssuer
3074628MedicaidNH

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
151.0124425VTMDAddiction (Substance Use Disorder) Counselor
068.0115899VTMDMental Health Counselor
884NHMDChiropractor
777NHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clara Martin Center Past Accepting new patients

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": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1942502349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1468",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056011468",
            "telephone_number": "802-223-4156",
            "fax_number": "802-223-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITALITY DRIVE",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "05641",
            "telephone_number": "802-223-4156",
            "fax_number": "802-223-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LADC LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-17",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "884",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151.0124425",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "777",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0115899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074628",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.