NORTHWESTERN COUNSELING & SUPPORT SERVICES INC (NPI# 1063501476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063501476 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN COUNSELING & SUPPORT SERVICES INC |
| Practice Address |
107 Fisher Pond Rd Saint Albans VT 05478-6286 |
| Practice Telephone | 8025246554 |
| Practice Fax Number | 8025246562 |
| Mailing Telephone | 8025246554 |
| Mailing Fax Number | 8025246562 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-09-10 |
| Authorized Official Name | DR. TED JOHN MABLE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8025246555 |
| Authorized Official Credential | ED.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities | ||
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0006103 | 05 | |
| VT | CIGNA | 2050939 | 01 |
| VT | 1006629 | 05 | |
| VT | 1009766 | 05 | |
| VT | BCBS | FRAN6103 | 01 |
| VT | 1007307 | 05 | |
| VT | VALUE OPTIONS | 491116 | 01 |
| VT | 1006428 | 05 | |
| VT | 1009767 | 05 | |
| VT | RR MEDICARE | CN7031 | 01 |
| VT | MHN | 355023 | 01 |
| VT | 1001094 | 05 | |
| VT | 1006107 | 05 | |
| VT | MVP | 66316 | 01 |
| Street Address |
107 FISHER POND RD |
| City | SAINT ALBANS |
| State | VT |
| Zip Code | 05478-6286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700850484 | Adrian L Webb | Psychiatry & Neurology | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2006-02-17 |
| 1982237152 | Angela Elcan | Behavioral Analyst | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2020-02-17 |
| 1275166456 | Heidi Livingston | Psychologist | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2020-02-17 |
| 1659904829 | Molly Finnigan | Behavioral Analyst | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2020-02-17 |
| 1346881869 | Christina Hoerner | Psychologist | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2019-10-06 |
| 1104479856 | Troy Parah | Counselor | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2019-07-22 |
| 1750942686 | Meaghan Malboeuf | Social Worker | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2019-06-21 |
| 1043779259 | Nalini Cheatham | Counselor | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2019-03-18 |
| 1649734229 | Megan Gargano | Behavioral Analyst | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2019-01-28 |
| 1780148452 | Megan Shedaker | Counselor | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2019-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306324710 | Stephanie Paulick-maloney | Audiologist | Northwestern Ear Nose and Throat, 10 Crest Road, St Albans, VT 05478 | 2018-07-30 |
| 1033632476 | Caroline D Homan | Speech-Language Pathologist | 596 Seymour Road, St. Albans City, VT 05478 | 2017-07-18 |
| 1891234514 | Baart Behavioral Health Services Inc | Clinic/Center | 242 S Main St, Saint Albans, VT 05478 | 2017-02-14 |
| 1336492073 | Vermont Medical Sleep Disorders Center, Inc. | Durable Medical Equipment & Medical Supplies | 6 Home Health Circle, Suite2, Saint Albans, VT 05478 | 2012-10-18 |
| 1598049454 | Genesis Rehab Services | Skilled Nursing Facility | 296 Sheldon Road, Saint Albans, VT 05478 | 2011-10-10 |
| 1942523576 | Heather Elizabeth Deslauriers | Pharmacist | 164 Swaton Rd, St.albans, VT 05478 | 2010-03-10 |
| 1154529451 | Elizabeth Maria Felcyn Dupont | Occupational Therapist | 596 Sheldon Road, St Albans, VT 05478 | 2007-07-07 |
| 1467674580 | James Robert Nelson | Counselor | 92 Fairfield Street, St. Albans, VT 05478 | 2007-05-02 |
| 1942429519 | Odette Susan Taylor | Physical Therapist | 3 Home Health Circle, St Albans, VT 05478 | 2007-04-24 |
| 1558588418 | Elizabeth Nelson Dmd PC | Dentist | 10 Mapleville Depot, St. Albans, VT 05478 | 2007-04-19 |
| Find all providers in zip 05478 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619485653 | Carries Behavior Solutions LLC | Community/Behavioral Health | 20518 116th Rd, Saint Albans, NY 11412-2916 | 2018-01-11 |
| 1578938049 | Life Healing Choices, LLC | Community/Behavioral Health | 20019 Hollis Ave, Saint Albans, NY 11412-1711 | 2015-12-09 |
| 1073767224 | Tri County Behavioral Health, LLC | Community/Behavioral Health | 2215 Bellwood Dr, Saint Albans, WV 25177-9545 | 2008-11-13 |
| 1972166825 | Inherently Good Counseling Services, LLC | Community/Behavioral Health | 2 N Main St, Saint Albans, VT 05478-1790 | 2019-04-16 |
| 1447622360 | Red Barn Stables LLC | Community/Behavioral Health | 7095 Smith Creek Rd, Saint Albans, WV 25177-7519 | 2015-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341931 | Emily Pichler Pllc | Community/Behavioral Health | 145 Pine Haven Shores Rd Ste 1000, Shelburne, VT 05482-7812 | 2020-09-18 |
| 1407481724 | Mount Mansfield Counseling Services LLC | Community/Behavioral Health | 213 Vermont Route 15, Jericho, VT 05465-9639 | 2020-03-06 |
| 1619511896 | Milne-o'grady, Msw LLC | Community/Behavioral Health | 770 Railroad St, St Johnsbury, VT 05819-1656 | 2019-10-31 |
| 1861959116 | Kate Greenen Lmft LLC | Community/Behavioral Health | 262 Western Ave Rm 2, Brattleboro, VT 05301-6246 | 2019-02-22 |
| 1407332893 | Association of Africans Living In Vermont | Community/Behavioral Health | 20 Allen St Fl 3, Burlington, VT 05401-4344 | 2018-07-18 |
| 1336500909 | Ejd, LLC | Community/Behavioral Health | 33 Bushey Rd, Middlesex, VT 05602-9200 | 2016-03-10 |
| 1265803068 | Comfort Heals Counseling Services Plc | Community/Behavioral Health | 297 N Main St Ste 2, Barre, VT 05641-4503 | 2015-10-19 |
| 1538542592 | Hope Grows | Community/Behavioral Health | 951 Vt 15 E, Hyde Park, VT 05655-9319 | 2015-07-08 |
| 1700268125 | Second Growth, Inc | Community/Behavioral Health | 205 Billings Farm Rd Bldg 1, White River Junction, VT 05001-5400 | 2015-06-22 |
| 1902207988 | Pathways Vermont, Inc. | Community/Behavioral Health | 279 N Winooski Ave, Burlington, VT 05401-3620 | 2014-09-10 |
| Find all providers with the same taxonomy | ||||
| City | SAINT ALBANS |
| Zip Code | 05478 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.