KRISTI LYNN PEPOON MSW LADC NPI 1790207504

NPI Information

NPI: 1790207504
Provider Name: KRISTI LYNN PEPOON, MSW, LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
160 BENMONT AVE STE 31
BENNINGTON, VT
ZIP 05201
Phone: (802) 733-5566
Get Directions

Kristi Lynn Pepoon, MSW, LADC is an addiction (substance use disorder) counselor in Bennington, VT with 9 years of experience. Kristi Lynn Pepoon, MSW, LADC NPI is 1790207504. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

160 BENMONT AVE STE 31
BENNINGTON, VT
ZIP 05201-899
Phone: (802) 733-5566
Fax: (802) 733-5566

The NPI 1790207504 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/13/2017 and was last updated on 7/21/2022.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	151.0124428	VERMONT	Yes
2	1041C0700X	Social Worker	Clinical	089.0115546	VERMONT	No

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
1	1031141	MEDICAID	VERMONT

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

NPI Synchronization or Removal

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