Individual provider Active NPI

Karen Butler, LMFT

  • Marriage & Family Therapist
  • Randolph, VT
National Provider Identifier
1982929477
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
100.0057961 Issued in VT
Practice address
11 N Main St
Randolph, VT 05060-1126
Phone
(802) 728-4466
Fax
(802) 728-4197
NPI assigned
Mar 29, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240108003632 VT Practitioner - Marriage and Family Therapist 6709237456 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100.0057961VTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clara Martin Center CurrentSince Jan 1, 2024 Accepting new patients
Clara Martin Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

11 N Main St
Randolph, VT 05060
Phone (802) 223-4156

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 100.0057961 VT Primary

Addresses

NPPES NPI Registry

Primary practice location

11 N Main St
Randolph, VT 05060-1126

Mailing address

PO Box G
Randolph, VT 05060-0167
Phone (802) 728-4466

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2010.

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1982929477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX G",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050600167",
            "telephone_number": "802-728-4466",
            "fax_number": "802-728-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N MAIN ST",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050601126",
            "telephone_number": "802-728-4466",
            "fax_number": "802-728-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KAREN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VT",
            "license": "100.0057961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, VT

Sources for this page

Verify at the official NPI Registry.