ADAM STARK MA LCMHC LADC NPI 1679503148

NPI Information

  • NPI: 1679503148
  • Provider Name: ADAM STARK, MA LCMHC LADC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 122 BIRGE ST 2ND FL.
    BRATTLEBORO, VT
    ZIP 05301
  • Phone: (802) 254-9719

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NPI Details

Adam Stark, MA LCMHC LADC is a mental health counselor in Brattleboro, VT. Adam Stark, MA LCMHC LADC NPI is 1679503148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

122 BIRGE ST 2ND FL.
BRATTLEBORO, VT
ZIP 05301
Phone: (802) 254-9719
Fax: (802) 254-9719

The enumeration date for this NPI number is 7/3/2006 and was last updated on 12/13/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health068-0000681VERMONTYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11012381MEDICAIDVERMONT
230424122MEDICAIDNEW HAMPSHIRE

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: 11/21/2025

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