NORTHEAST KINGDOM COUNCIL ON AGING (NPI# 1104272343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104272343 |
| Entity Type | Organization |
| Organization Name | NORTHEAST KINGDOM COUNCIL ON AGING |
| Practice Address |
481 Summer St Ste 101 Saint Johnsbury VT 05819-2103 |
| Practice Telephone | 8027485182 |
| Practice Fax Number | 8027486622 |
| Mailing Telephone | 8027485182 |
| Mailing Fax Number | 8027486622 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |
| Authorized Official Name | MS. DEBORAH ROUSSEAU ROUSSEAU (DIRECTOR OF CASE MANAGEMENT) |
| Authorized Official Telephone | 8027485182 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | VT | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 047W003 | 05 |
| Street Address |
481 SUMMER ST STE 101 |
| City | SAINT JOHNSBURY |
| State | VT |
| Zip Code | 05819-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871039040 | Aprexis Hs LLC | Case Management | 85 Granite Shed Ln, Unit 1, Montpelier, VT 05602-3677 | 2017-01-12 |
| 1235586074 | Southwestern Vermont Council On Aging, Inc. | Case Management | 1085 Us Route 4e, Unit 2b, Rutland, VT 05701-0000 | 2016-05-23 |
| 1871940064 | Champlain Valley Agency On Aging | Case Management | 76 Pearl St, Suite 201, Essex Junction, VT 05452-3662 | 2016-05-18 |
| 1841664018 | Eckerd Youth Alternatives, Inc | Case Management | 98 Merchants Row Fl 2, Rutland, VT 05701-5942 | 2015-11-25 |
| 1295093599 | Emerge Family Advocates | Case Management | 95 Leslie Drive, White River Junction, VT 05001-1224 | 2012-04-25 |
| 1265727812 | Sd Associates LLC | Case Management | 4049 Williston Rd Ste 8, South Burlington, VT 05403-6048 | 2011-06-12 |
| 1164638250 | Rutland County Parent Child Center | Case Management | 61 Pleasant St, Rutland, VT 05701-5009 | 2007-05-15 |
| 1841417771 | Professional Nurses Service, Inc. | Case Management | 94 W Canal St, Winooski, VT 05404-2128 | 2007-04-20 |
| 1275651267 | Specialized Community Care, Inc | Case Management | 3627 Route 7 S, Middlebury, VT 05753-9130 | 2007-03-27 |
| 1790850857 | Visiting Nurse Association and Hospice of Vermont and New Hampshire, I | Case Management | 88 Prospect St Bldg 5, White River Junction, VT 05001-7036 | 2006-11-22 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOHNSBURY |
| Zip Code | 05819 |
Please comment or provide details below to improve the information on NORTHEAST KINGDOM COUNCIL ON AGING.
| 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.