MS. JULIE LYNNE BOMENGEN (NPI# 1134273154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134273154 |
| Entity Type | Individual |
| Full Name | MS. JULIE LYNNE BOMENGEN |
| Credential | MS |
| Practice Address |
111 Main St Grant Building Hyde Park VT 05655 |
| Mailing Address |
3491 Elmore Mtn Rd Morrisville VT 05661 |
| Practice Telephone | 8028886215 |
| Practice Fax Number | 8028889474 |
| Mailing Telephone | 8028889345 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0680000519 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1008302 | 05 |
| Street Address |
111 MAIN ST GRANT BUILDING |
| City | HYDE PARK |
| State | VT |
| Zip Code | 05655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861977621 | Hear Today LLC | Social Worker | 111 Main St, Hyde Park, VT 05655 | 2018-09-27 |
| 1922463652 | Luke Smith | Social Worker | 111 Main St, Hyde Park, VT 05655 | 2015-12-23 |
| 1124149729 | Sharon Moffatt | Counselor | 111 Main St, Hyde Park, VT 05655 | 2007-04-02 |
| 1265551147 | Kathryn C. Stackpole Osborne | Social Worker | 111 Main St, Hyde Park, VT 05655 | 2007-03-29 |
| 1497812739 | Kimberly D Austin Puleio | Counselor | 111 Main St, Hyde Park, VT 05655 | 2007-01-03 |
| 1821154600 | Helene S Nilsen | Registered Nurse | 111 Main St, Hyde Park, VT 05655 | 2006-12-28 |
| 1386705945 | Ellen B Halperin | Counselor | 111 Main St, Hyde Park, VT 05655-0159 | 2006-12-13 |
| 1801957469 | Eleanor M Morrissey | Counselor | 111 Main St, Hyde Park, VT 05655-0159 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296681 | Justin Philie | Counselor | Green River Guild, 111 Main St., Hyde Park, VT 05655 | 2019-07-05 |
| 1447641527 | Planned Parenthood of Northern New England | Non-Pharmacy Dispensing Site | 213 E Main St., Hyde Park, VT 05655 | 2015-02-11 |
| 1699097964 | Susan A. Moore | Speech-Language Pathologist | 114 Langdell Road, Hyde Park, VT 05655 | 2010-02-26 |
| 1659528818 | Vicki A Rich | Registered Nurse | 1660 Vt Route 15 West, Hyde Park, VT 05655 | 2008-08-19 |
| 1437252996 | August Burns | Physician Assistant | 213 East Main Street, Hyde Park, VT 05655 | 2006-09-07 |
| 1891120770 | Lamoille Restorative Center | Case Management | 221 Main Street, Hyde Park, VT 05655 | 2013-09-10 |
| 1902113285 | Patricia L Marshall | Counselor | 179 Main Street, #4, Hyde Park, VT 05655 | 2010-09-08 |
| 1114165412 | Patricia Joann Long | Counselor | 257 Main Street, Hyde Park, VT 05655 | 2009-01-26 |
| 1801919337 | Rebecca Stuart Doherty | Counselor | 111 Main Street, Hyde Park, VT 05655 | 2007-04-09 |
| 1770816548 | Scott Salls | Contractor | 109 Raymond Ln, Hyde Park, VT 05655-4402 | 2009-09-11 |
| Find all providers in zip 05655 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154964070 | Lita Renee Bailey | Counselor | 21 Radcliffe Rd, Hyde Park, MA 02136-6112 | 2019-10-23 |
| 1285296681 | Justin Philie | Counselor | Green River Guild, 111 Main St., Hyde Park, VT 05655 | 2019-07-05 |
| 1629638796 | Sadie Lynn Miller | Counselor | 599 Violet Ave, Hyde Park, NY 12538-1852 | 2019-06-19 |
| 1376034942 | Aja A. Rogers | Counselor | 695 Truman Hwy Ste 202, Hyde Park, MA 02136-3552 | 2018-05-19 |
| 1235689167 | Rosangela Moreira | Counselor | 41 Massasoit St, Hyde Park, MA 02136-6723 | 2016-10-04 |
| 1497124713 | David Jefferson | Counselor | 82 Birchcroft Rd, Hyde Park, MA 02136-6087 | 2015-09-16 |
| 1417373655 | Stephen Alexander | Counselor | 440 N 400 E, Hyde Park, UT 84318-3305 | 2014-03-12 |
| 1518381284 | Emmanuel Dorvelus | Counselor | 652 Georgetowne Dr, Hyde Park, MA 02136-1054 | 2014-02-14 |
| 1093146300 | Kimberly Kish | Counselor | 4252 Albany Post Rd Ste 2, Hyde Park, NY 12538-1766 | 2013-12-12 |
| 1972855955 | Harry Emile | Counselor | 463 Huntington Ave, Hyde Park, MA 02136-3103 | 2012-10-15 |
| Find all providers in HYDE PARK | ||||
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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.