HABIT OPCO, LLC (NPI# 1861902926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861902926 |
| Entity Type | Organization |
| Organization Name | HABIT OPCO, LLC |
| Other Organization Name | HABIT OPCO-BRATTLEBORO |
| Practice Address |
16 Town Crier Dr Brattleboro VT 05301-8669 |
| Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
| Practice Telephone | 8022584623 |
| Practice Fax Number | 8022584629 |
| Mailing Telephone | 7607100807 |
| Mailing Fax Number | 8775520439 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |
| Authorized Official Name | PETER F. MORRIS (PRESIDENT, CTC DIVISION) |
| Authorized Official Telephone | 6157211297 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Habit OPCO-Brattleboro | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386888279 | Habit Opco, LLC | Clinic/Center | 111 Highway 35, Suite 7, Cliffwood, NJ 07721-1515 | 2009-04-23 |
| 1912155516 | Habit Opco, LLC | Clinic/Center | 16 Town Crier Drive, Brattleboro, VT 05304 | 2008-09-08 |
| 1023175072 | Habit Opco, LLC | Clinic/Center | 511 East Columbus Ave., Springfield, MA 01105 | 2007-01-02 |
| 1639689292 | Habit Opco, LLC | Clinic/Center | 1 Main St Lowr, South Amboy, NJ 08879-1142 | 2017-10-09 |
| 1043720113 | Habit Opco, LLC | Clinic/Center | 20 Market St, Manchester, NH 03101-1957 | 2017-10-03 |
| 1033629100 | Habit Opco, LLC | Clinic/Center | 254 Plainfield Rd, West Lebanon, NH 03784-2001 | 2017-10-03 |
| Street Address |
16 TOWN CRIER DR |
| City | BRATTLEBORO |
| State | VT |
| Zip Code | 05301-8669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003934084 | Brian Davis | Counselor | 16 Town Crier Dr, Suite 1, Brattleboro, VT 05301-8669 | 2007-03-27 |
| 1295205300 | Kaileigh Fitch | Licensed Practical Nurse | 16 Town Crier Dr, Brattleboro, VT 05301-8669 | 2018-12-01 |
| 1326517384 | Erika K Wood | Licensed Practical Nurse | 16 Town Crier Dr, Brattleboro, VT 05301-8669 | 2018-11-20 |
| 1720564339 | Katelyn-ann Sherman | Counselor | 16 Town Crier Dr, Brattleboro, VT 05301-8669 | 2018-07-17 |
| 1568960110 | Jacquelyn Marie Georgina | Counselor | 16 Town Crier Dr, Brattleboro, VT 05301-8669 | 2018-01-30 |
| 1871019273 | Gerald M Labeau | Case Manager/Care Coordinator | 16 Town Crier Dr, Brattleboro, VT 05301-8669 | 2017-08-17 |
| 1477901429 | Sarah Jensen | Counselor | 16 Town Crier Dr, Brattleboro, VT 05301-8669 | 2016-06-01 |
| 1700249711 | Lauren R Jensen | Counselor | 16 Town Crier Dr, Brattleboro, VT 05301-8669 | 2016-03-29 |
| 1134593148 | Cynthia Stepler | Counselor | 16 Town Crier Dr, Brattleboro, VT 05301-8669 | 2015-11-16 |
| 1023491834 | Michael Burrows | Counselor | 16 Town Crier Dr, Brattleboro, VT 05301-8669 | 2015-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575372 | Roberta M. White | Psychologist | 72 Whetstone Rd, Brattleboro, VT 05301 | 2019-06-03 |
| 1225526940 | Audrey Johnston | Nurse Practitioner | Brattleboro Family Medicine, 53 Fairview Street, Brattleboro, VT 05301 | 2018-04-27 |
| 1811349582 | Jillian Barney | Physician Assistant | 17 Belmont Ave Richards Building (1st Floor), Barttleboro, VT 05301 | 2016-07-06 |
| 1326413899 | Gabriella Neacsu Katz | Nurse Practitioner | 1860 Weatherhead Hollow Rd, Guilford, VT 05301 | 2015-12-09 |
| 1942608914 | Kathryn Peterson | Registered Nurse | 105 Winter St Apt 2, Brattleboro, VT 05301 | 2014-12-08 |
| 1558762823 | Saryn T Lauzon | Registered Nurse | 2 Maplewood Drive, Brattleboro, VT 05301 | 2014-09-05 |
| 1912248691 | Robert Joseph Stack | Counselor | 1 Linden Street, Brattleboro, VT 05301 | 2013-03-06 |
| 1053651760 | Christopher M. Deszynski | Naturopath | 73 Main St Ste 4, Brattleboro, VT 05301 | 2013-02-18 |
| 1518236355 | Christine Hamrin | Licensed Practical Nurse | 54 Spruce Street, Brattleboro, VT 05301 | 2011-12-23 |
| 1881924934 | Margrit C. Mikulis | Naturopath | 147 Orchard St, Brattleboro, VT 05301 | 2010-01-12 |
| Find all providers in zip 05301 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912155516 | Habit Opco, LLC | Clinic/Center | 16 Town Crier Drive, Brattleboro, VT 05304 | 2008-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578021408 | Baart Behavioral Health Services, Inc | Clinic/Center | 617 Comstock Rd Ste 5, Berlin, VT 05602-8498 | 2019-03-11 |
| 1891234514 | Baart Behavioral Health Services Inc | Clinic/Center | 242 S Main St, Saint Albans, VT 05478 | 2017-02-14 |
| City | BRATTLEBORO |
| Zip Code | 05301 |
Please comment or provide details below to improve the information on HABIT OPCO, LLC.
| 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.