RALPH INDORF (NPI# 1558748012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558748012 |
| Entity Type | Individual |
| Full Name | RALPH INDORF |
| Credential | LCMHC |
| Practice Address |
5 S Main St Ste 318 White River Junction VT 05001-7416 |
| Mailing Address |
Po Box 316 Brownsville VT 05037-0316 |
| Practice Telephone | 8029529017 |
| Mailing Telephone | 8029529017 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2018-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
1991 | NH | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
068.0134102 | VT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9 Hanover St, Suite 2, Lebanon, NH 037661312 | 6034480126 | 6034486001 |
| Street Address |
5 S MAIN ST STE 318 |
| City | WHITE RIVER JUNCTION |
| State | VT |
| Zip Code | 05001-7416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071674 | Angela Norton | Dietitian, Registered | White River Junction Va, 163 Veterans Drive, White River Junction, VT 05001 | 2020-01-02 |
| 1295221687 | Arielle Courtney Strickland | Behavioral Analyst | 91 Farmvu Dr, White River Junction, VT 05001 | 2018-07-09 |
| 1639544075 | Maureen D Bogosian | Counselor | 211 North Main St, White River, VT 05001 | 2015-12-10 |
| 1104254515 | Peter David Tenenbaum | Social Worker | 67 Raymond Circle, White River Junction, VT 05001 | 2013-10-22 |
| 1124311493 | Amber J Leavitt | Counselor | 226 Holiday Dr Ste 21, White River Junction, VT 05001 | 2011-05-19 |
| 1083820963 | Eileen Frances Lanza | Counselor | 3 Palmer Court, White River Junction, VT 05001 | 2007-05-15 |
| 1841337912 | Carol B. Collier | Counselor | 5 Palmer Court, White River Junction, VT 05001 | 2007-01-30 |
| 1174682041 | Mark G Koch | Marriage & Family Therapist | 1011 N. Main St. #21, White River Junction, VT 05001 | 2006-12-07 |
| 1518032564 | White River Family Practice PC | Family Medicine | 331 Olcott Drive, Suite U3, White River Jct, VT 05001 | 2006-11-22 |
| 1396818100 | Richard Sandford Zubarik | Internal Medicine | Smith 212-fletcher Allen Health Care, Colchester Avenue, Burlington, VT 05001 | 2006-11-17 |
| Find all providers in zip 05001 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124311493 | Amber J Leavitt | Counselor | 226 Holiday Dr Ste 21, White River Junction, VT 05001 | 2011-05-19 |
| 1699806588 | Andrew J Engert | Counselor | 160 Palmer Ct, Suite 1d, White River Junction, VT 05001-9061 | 2007-03-09 |
| 1932279890 | Phil Prothero | Counselor | 205 Billings Farm Rd Ste 2d, White River Junction, VT 05001 | 2006-11-08 |
| 1942383971 | Kevin James Cole | Counselor | 215 N Main Stree, White River Junction, VT 05009-0001 | 2006-10-23 |
| 1497228506 | Marcia Webster | Counselor | 18 N Main St, White River Junction, VT 05001-7062 | 2019-01-10 |
| 1740637933 | Linda Eastman | Counselor | 215 N Main St, White River Junction, VT 05009-0001 | 2016-05-18 |
| 1316317043 | Change Talk Pllc | Counselor | 2458 Christian Street, Suite 202, White River Junction, VT 05001 | 2015-10-07 |
| 1972935864 | Judith R. Bush | Counselor | 2458 Christian St, White River Junction, VT 05001-9855 | 2013-08-02 |
| 1043481906 | Holly Ann Johnson | Counselor | 2456 Christian St, Suite 204, White River Junction, VT 05001 | 2008-03-19 |
| 1578687950 | Jeana Embers | Counselor | 85 N Main St, Suite 210, White River Junction, VT 05001-7134 | 2007-03-19 |
| Find all providers in WHITE RIVER JUNCTION | ||||
| City | WHITE RIVER JUNCTION |
| Zip Code | 05001 |
Please comment or provide details below to improve the information on RALPH INDORF.
| 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.