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NORTHWESTERN COUNSELING & SUPPORT SERVICES INC NPI 1063501476


NPI Information

NPI: 1063501476
Provider Name: NORTHWESTERN COUNSELING & SUPPORT SERVICES INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
107 FISHER POND RD
SAINT ALBANS, VT
ZIP 05478
Phone: (802) 524-6554
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NORTHWESTERN COUNSELING & SUPPORT SERVICES INC is a community behavioral health in Saint Albans, VT. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. NORTHWESTERN COUNSELING & SUPPORT SERVICES INC NPI is 1063501476. The provider is registered as an organization entity type.

The provider's business location address is:

107 FISHER POND RD
SAINT ALBANS, VT
ZIP 05478-286
Phone: (802) 524-6554
Fax: (802) 524-6562

The provider's authorized official is Ted John Mable .
The authorized official title is Executive Director and has the following contact phone number (802) 524-6555.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 9/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5251C00000XDay Training, Developmentally Disabled ServicesNo
6261QD1600XClinic/CenterDevelopmental DisabilitiesNo
7310400000XAssisted Living FacilityNo
8320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
9315P00000XIntermediate Care Facility, Intellectual DisabilitiesNo
10251K00000XPublic Health or WelfareNo
11251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12050939OTHERVERMONTCIGNA
2491116OTHERVERMONTVALUE OPTIONS
31001094MEDICAIDVERMONT
4CN7031OTHERVERMONTRR MEDICARE
50006103MEDICAIDVERMONT
6355023OTHERVERMONTMHN
766316OTHERVERMONTMVP
81009767MEDICAIDVERMONT
9FRAN6103OTHERVERMONTBCBS
101006629MEDICAIDVERMONT
111007307MEDICAIDVERMONT
12VT6103MEDICARE PINVERMONT
131006428MEDICAIDVERMONT
141009766MEDICAIDVERMONT
151006107MEDICAIDVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.