NORTHEAST KINGDOM HUMAN SERVICES INC MH WAIVER (NPI# 1124152004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124152004 |
| Entity Type | Organization |
| Organization Name | NORTHEAST KINGDOM HUMAN SERVICES INC MH WAIVER |
| Practice Address |
154 Duchess St Newport VT 05855 |
| Mailing Address |
Po Box 724 Newport VT 05855-0724 |
| Practice Telephone | 8023346744 |
| Practice Fax Number | 8023347340 |
| Mailing Telephone | 8023346744 |
| Mailing Fax Number | 8023347340 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ERIC GRIMS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8023346744 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 6030005 | 05 |
| Street Address |
154 DUCHESS ST |
| City | NEWPORT |
| State | VT |
| Zip Code | 05855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033241344 | Northeast Kingdom Human Services Inc Mh Adult | Clinic/Center | 154 Duchess St, Newport, VT 05855-0724 | 2007-03-12 |
| 1669597845 | Northeast Kingdom Human Services Inc Hbkf | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-20 |
| 1902930878 | Northeast Kingdom Human Services Inc Sbs | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-15 |
| 1891829776 | Northeast Kingdom Human Services Inc Vhap | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-15 |
| 1881728772 | Northeast Kingdom Human Services Inc Accs | Assisted Living Facility | 154 Duchess St, Newport, VT 05855 | 2007-03-15 |
| 1316070485 | Northeast Kingdom Human Services Inc Crt | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-14 |
| 1134252893 | Northeast Kingdom Human Services Inc Ds | Clinic/Center | 154 Duchess St, Newport, VT 05855-0724 | 2007-03-13 |
| 1043343700 | Northeast Kingdom Human Services Inc Mh Children | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-13 |
| 1265565857 | Karen J Hack | Psychologist | 154 Duchess St, Newport, VT 05855-0724 | 2007-03-13 |
| 1487787149 | Northeast Kingdom Human Services Inc PC | Day Training, Developmentally Disabled Services | 154 Duchess St, Newport, VT 05855-0724 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170922 | Katrina Marie Prive | Nurse Practitioner | 799 Salem View Heights, Newport, VT 05855 | 2020-10-08 |
| 1265949903 | Jodeci Malixi | Dentist | 494 Highland Ave #1, Newport, VT 05855 | 2018-01-03 |
| 1568971984 | Roderic R Knights Jr. | Social Worker | 121 Duchess Ave Ste B, Newport, VT 05855 | 2017-09-28 |
| 1952753311 | Gabrielle Marcotte | Speech-Language Pathologist | 189 Prouty Dr, Newport, VT 05855 | 2016-07-11 |
| 1215385919 | Elizabeth Torres | Behavioral Analyst | 4088 Hinman Settler Rd, Newport, VT 05855 | 2016-06-03 |
| 1598147175 | Emmi Rena Chapdelaine | Massage Therapist | 419b Route 105, Newport, VT 05855 | 2015-06-19 |
| 1164721783 | Elaine Marie Nicol-cashin | Pharmacist | 59 Waterfront Plaza, Newport, VT 05855 | 2011-03-22 |
| 1053589374 | Francis L Pinard Od PC | Optometrist | 124 East Main Street, Suite #1, Newport, VT 05855 | 2008-02-20 |
| 1073717112 | Freedom Physical Therapy, P.c | Physical Therapist | 419a Vt Rt 105, Suite B, Newport, VT 05855 | 2007-06-13 |
| 1902027402 | Nancy Lynn Stevenson-lyon | Specialist/Technologist | 209 Veterans Ave., Newport, VT 05855 | 2007-05-01 |
| Find all providers in zip 05855 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696283 | Interlink Counseling Services, LLC | Clinic/Center | 102 Larch Ave Ste 101f, Newport, DE 19804 | 2018-04-21 |
| 1376990606 | Oregon Holistic Counseling | Clinic/Center | 5220 Ne Shell World Pl Ste B, Newport, OR 97365-1279 | 2016-05-17 |
| 1992245849 | Lisa C Erwin Licsw Plc | Clinic/Center | 316 Main St, Suite 206, Newport, VT 05855-5530 | 2017-02-26 |
| 1891829776 | Northeast Kingdom Human Services Inc Vhap | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366082422 | Art Roots, Plc | Clinic/Center | 4061 Main St, Waitsfield, VT 05673 | 2020-01-07 |
| 1801396882 | Schaeffler & Associates LLC | Clinic/Center | 133 Browns Trace Rd, Jericho, VT 05465-2034 | 2018-02-16 |
| 1003315177 | Counter Balance | Clinic/Center | 56 Main St Ste 212, Springfield, VT 05156-2945 | 2018-02-05 |
| 1942214515 | Washington County Mental Health Services, Inc. | Clinic/Center | 201 Hill St, Barre, VT 05641-3920 | 2006-07-28 |
| 1023022605 | Washington County Mental Health Services, Inc. | Clinic/Center | 15 Arioli Ave, Barre, VT 05641-5214 | 2006-07-28 |
| 1952325177 | Washington County Mental Health Services, Inc. | Clinic/Center | 62 Barre St, Montpelier, VT 05602-3508 | 2006-07-27 |
| 1134116759 | Washington County Mental Health Services, Inc. | Clinic/Center | 174 Hospital Loop, Berlin, VT 05602 | 2005-09-29 |
| 1457959751 | Lauren May Grant | Clinic/Center | 31 Elmwood Ave, Burlington, VT 05401-4347 | 2020-10-09 |
| 1437764974 | Vermont Neuropsychology LLC | Clinic/Center | 2 Church St Ste 3g, Burlington, VT 05401-4457 | 2020-09-11 |
| 1326684812 | Warpinski Counseling, LLC | Clinic/Center | 91 S Main St, Saint Albans, VT 05478-2209 | 2019-11-20 |
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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.