Nancy Kenyon Richardson, LCMHC | |
100 Hospitality Drive, Berlin, VT 05641 | |
(802) 223-4156 | |
(802) 223-4332 |
Full Name | Nancy Kenyon Richardson |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 100 Hospitality Drive, Berlin, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811362619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 068-0134318 (Vermont) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 000694 (Vermont) | Primary |
Entity Name | Central Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023028784 PECOS PAC ID: 9335138817 Enrollment ID: O20051220000393 |
Mailing Address | Practice Location Address |
---|---|
Nancy Kenyon Richardson, LCMHC Po Box 1468, Montpelier, VT 05601-1468 Ph: (802) 223-4156 | Nancy Kenyon Richardson, LCMHC 100 Hospitality Drive, Berlin, VT 05641 Ph: (802) 223-4156 |
Elizabeth E Thompson, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 174 Hospital Loop, Berlin, VT 05602 Phone: 802-479-4083 Fax: 802-479-1476 | |
Amanda Marie Galloway, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 286 Hospital Loop, Berlin, VT 05602 Phone: 802-229-0591 Fax: 802-223-3667 | |
Debra K Wucik, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Hospitality Drive, Berlin, VT 05602 Phone: 802-223-4156 Fax: 802-223-4332 | |
Jason Herbert Fechter, LPMA Counselor Medicare: Medicare Enrolled Practice Location: 174 Hospital Loop, Berlin, VT 05602 Phone: 802-479-4083 Fax: 802-476-1476 | |
Mr. Charles R Keinath, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80247 91759 Airport Rd, Berlin, VT 05602 Phone: 802-479-1759 | |
Tracy Hobbs-johnson, PMHNP-BC Counselor Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-479-0014 | |
Alycia Post, LCMHC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 286 Hospital Loop, Berlin, VT 05602 Phone: 802-229-0591 Fax: 802-223-3667 |