Vincent Buckholz, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0890114807 Issued in VT

Practice address

4 Garfield Ave
Springfield, VT 05156-3535

Phone

(802) 376-1665

NPI assigned

Apr 11, 2017

Last updated

Apr 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Vincent Buckholz, Licsw, PLLC

  dba Counter Balance

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, VT
  • NPI 1902305782
  Medicare reassignment NPD Authorized official
• Counter Balance

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, VT
  • NPI 1003315177
  NPD Authorized official

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1972036432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GARFIELD AVE",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051563535",
            "telephone_number": "802-376-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GARFIELD AVE",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051563535",
            "telephone_number": "802-376-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKHOLZ",
        "first_name": "VINCENT",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890114807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora Briere
• Kaitlyn Brown
• Rebecca L. Brown, BSN
• Samuel Brown
• Laura E Bryant - Williams, LCMHC
• Julia C Burakian, MSW LICSW
• Michelle C. Burke, M.S., MLADC
• Abigail Bargiel Burns, RN
• Donna Burns, MA
• Laurey Collins Burris, EDD, LADC

• Clinical Social Worker in Springfield, VT
• Providers in Springfield, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.