CONNIE L KELLOGG (NPI# 1790922151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790922151 |
| Entity Type | Individual |
| Full Name | CONNIE L KELLOGG |
| Credential | LCMHC |
| Practice Address |
231 Concord Ave Suite #3 St Johnsbury VT 05819-1513 |
| Practice Telephone | 8027489555 |
| Mailing Telephone | 8027489555 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
068-0000761 | VT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821147158 | Connie Kellogg | Psychologist | 6756 Walker Ave, Sebastopol, CA 95472-4213 | 2007-01-09 |
| Street Address |
231 CONCORD AVE SUITE #3 |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235195629 | Stephanie L Churchill | Marriage & Family Therapist | 231 Concord Ave, St Johnsbury, VT 05819-1513 | 2006-04-25 |
| 1235684101 | Complete Circle Counseling | Health Maintenance Organization | 231 Concord Ave, Suite 2, St Johnsbury, VT 05819-1513 | 2016-08-22 |
| 1386099059 | Riverbend Counseling Services, Pllc | Counselor | 231 Concord Ave, Ste 2, St Johnsbury, VT 05819-1513 | 2016-04-29 |
| 1609880319 | Sara J Demetry | Social Worker | 231 Concord Ave, Suite #2, St Johnsbury, VT 05819 | 2006-07-28 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301966 | Karen Roy | Counselor | 190 Eastern Ave Ste 202, St Johnsbury, VT 05819-2700 | 2019-05-19 |
| 1285197541 | Scott Ward Fournier | Counselor | 1129 Main St Ste 1, St Johnsbury, VT 05819-2601 | 2019-04-12 |
| 1174826861 | Barbara Louise Elzohairy | Counselor | 394 Railroad St, St Johnsbury, VT 05819-1600 | 2010-12-18 |
| 1003008020 | Cheryl Santacaterina | Counselor | 161 Western Ave, Suite 102, St Johnsbury, VT 05819-2642 | 2007-08-14 |
| 1003972357 | Elizabeth Carbery Neal | Counselor | 242 Eastern Ave, St Johnsbury, VT 05819-2644 | 2006-12-29 |
| 1457918757 | Four Firs Counseling | Counselor | 190 Eastern Ave Ste 202, St Johnsbury, VT 05819-2700 | 2019-05-22 |
| 1023571395 | Cairn Counseling Center Plc | Counselor | 1129 Main St Ste 1, St Johnsbury, VT 05819-2601 | 2019-04-12 |
| 1437635760 | Jane Bullock | Counselor | 2225 Portland St, St Johnsbury, VT 05819-8635 | 2018-07-19 |
| 1912304296 | Anna Elizabeth Acito | Counselor | 1129 Main St, St Johnsbury, VT 05819-2601 | 2014-12-02 |
| 1205256542 | William Stiles Huntington | Counselor | 560 Railroad St, St Johnsbury, VT 05819-1647 | 2014-04-25 |
| Find all providers in ST JOHNSBURY | ||||
| City | ST JOHNSBURY |
| Zip Code | 05819 |
Please comment or provide details below to improve the information on CONNIE L KELLOGG.
| 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.