Jeff Rothenberg, LCMHC | |
9 Heaton St, Montpelier, VT 05602-2489 | |
(802) 223-6328 | |
(802) 229-8004 |
Full Name | Jeff Rothenberg |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 9 Heaton St, Montpelier, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497842322 | NPI | - | NPPES |
1007431 | Medicaid | VT | |
2183012 | Other | VT | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 068.0000507 (Vermont) | Primary |
Entity Name | Washington County Mental Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922026996 PECOS PAC ID: 8123010121 Enrollment ID: O20040519000738 |
Mailing Address | Practice Location Address |
---|---|
Jeff Rothenberg, LCMHC 149 Howes Rd, Moretown, VT 05660-4412 Ph: (802) 496-2699 | Jeff Rothenberg, LCMHC 9 Heaton St, Montpelier, VT 05602-2489 Ph: (802) 223-6328 |
Helene V Amses, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 157 Barre St, Montpelier, VT 05602 Phone: 802-229-8000 Fax: 802-229-8030 | |
Michele Clark, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Court St, Montpelier, VT 05602 Phone: 802-229-9608 | |
David Rapp, MS Counselor Medicare: Medicare Enrolled Practice Location: 79 Main St Ste 7, Montpelier, VT 05602 Phone: 802-989-5819 | |
Laurie L. Pontbriand, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Heaton St, Montpelier, VT 05602 Phone: 802-223-6328 Fax: 802-229-8004 | |
Jennette Difazio, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 Main St, Montpelier, VT 05602 Phone: 802-225-8355 Fax: 802-223-8105 | |
David C Spence, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 157 Barre Street, Montpelier, VT 05602 Phone: 802-229-8000 Fax: 802-229-8030 | |
Ms. Sharon A Stahl, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 162 Elm St, Montpelier, VT 05602 Phone: 802-229-6700 |