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
Last updated
Mar 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Specialties & licenses 1

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

Addresses

Primary practice location

11 N Main St
Randolph, VT 05060-1126

Mailing address

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

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

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, 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": "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.