Kayja Marie Champine, MS, NCC, LCMHC | |
78 S Main St, Rutland, VT 05701-4591 | |
(802) 775-2381 | |
Not Available |
Full Name | Kayja Marie Champine |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 78 S Main St, Rutland, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669136420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Community Health Centers Of The Rutland Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336193838 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000357 |
Entity Name | Community Health Centers Of The Rutland Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073567590 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000784 |
Entity Name | Community Health Centers Of The Rutland Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104870922 PECOS PAC ID: 2961467386 Enrollment ID: O20050131001023 |
Entity Name | Community Health Centers Of The Rutland Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467681114 PECOS PAC ID: 2961467386 Enrollment ID: O20100804000784 |
Entity Name | Community Health Centers Of The Rutland Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780969345 PECOS PAC ID: 2961467386 Enrollment ID: O20120321000420 |
Entity Name | Maple Leaf Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851715635 PECOS PAC ID: 8426463951 Enrollment ID: O20210216001561 |
Mailing Address | Practice Location Address |
---|---|
Kayja Marie Champine, MS, NCC, LCMHC 39 Cramton Ave, Rutland, VT 05701-2604 Ph: (860) 922-6827 | Kayja Marie Champine, MS, NCC, LCMHC 78 S Main St, Rutland, VT 05701-4591 Ph: (802) 775-2381 |
Kathleen White, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 65 N Main St Ste 3, Rutland, VT 05701 Phone: 802-772-7787 | |
Ms. Debra L Roberts, LADC, LICSW Counselor Medicare: Medicare Enrolled Practice Location: 128 Merchants Row, Suite 611- 612, Rutland, VT 05701 Phone: 802-786-8008 Fax: 802-786-8008 | |
Dr. Cheryl Mckenzie, PH.D.,LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 88 Park St, Rutland, VT 05701 Phone: 802-775-2395 Fax: 802-773-9656 | |
Jessica Daniels, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 98 Allen St, Rutland, VT 05701 Phone: 802-747-3588 | |
Peter Michael Mahar, MS, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 128 Merchants Row, Office 602, Rutland, VT 05701 Phone: 802-773-1411 Fax: 802-773-9811 | |
Catherine Elizabeth Johnson, THERAPIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 71 Allen St Ste 202, Rutland, VT 05701 Phone: 802-446-3577 | |
Barbara Roberts, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Court Sq, Rutland, VT 05701 Phone: 802-775-4388 Fax: 802-775-3307 |