Sarah Blessum, LCPC
Individual provider Active NPI Professional Counselor · Thetford Ctr, VT
NPI 1972075216 · NPPES record last updated Feb 9, 2024
Key facts
- NPI
- 1972075216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 068.0135529 (VT)
- Practice address
- 562 Woods LN
Thetford Ctr, VT 05075-0507 - Phone
- (406) 390-4533
- NPI assigned
- Dec 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35429 | MT | MD | Professional Counselor |
| 068.0135529 | VT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 35429 | MT | |
| Professional Counselor | 101YP2500X | 068.0135529 | VT | Yes |
Addresses
Primary practice location
562 Woods LN
Thetford Ctr, VT 05075-0507
Mailing address
PO Box 192
Thetford Center, VT 05075-0192
Phone (406) 390-4533
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.