| Northeast Kingdom Human Services Inc | |
|
181 Crawford Rd Newport VT 05855-6405 | |
| (802) 334-6744 | |
| (802) 334-7455 |
| Full Name | Northeast Kingdom Human Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 181 Crawford Rd, Newport, Vermont |
| Authorized Official Name and Position | Denis Houle (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8023346744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Kingdom Human Services Inc Po Box 724 Newport VT 05855-0724 Ph: (802) 334-6744 | Northeast Kingdom Human Services Inc 181 Crawford Rd Newport VT 05855-6405 Ph: (802) 334-6744 |
| NPI Number | 1043372709 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 09/13/2019 |
| Medicare PECOS PAC ID | 0941276703 |
|---|---|
| Medicare Enrollment ID | O20041012001355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043372709 | NPI | - | NPPES |
| 1009784 | Medicaid | VT | |
| 0006073 | Medicaid | VT |
| Provider Name | Carey J Brodzinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225093636 PECOS PAC ID: 4981650694 Enrollment ID: I20050325000261 |
| Provider Name | William R Cote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235120163 PECOS PAC ID: 4284670233 Enrollment ID: I20050630000227 |
| Provider Name | Lorraine B Impey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1427109578 PECOS PAC ID: 8325071145 Enrollment ID: I20050913000697 |
| Provider Name | David Mooney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609841881 PECOS PAC ID: 0749208478 Enrollment ID: I20051110000499 |
| Provider Name | Kathleen C Pittaway |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477678829 PECOS PAC ID: 2961410451 Enrollment ID: I20060324000278 |
| Provider Name | Craig R Vantuinen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699815365 PECOS PAC ID: 5698871689 Enrollment ID: I20070508000569 |
| Provider Name | Donna M Laurin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295903730 PECOS PAC ID: 1557448107 Enrollment ID: I20080407000205 |
| Provider Name | Gianpaolo Bentivoglio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417023573 PECOS PAC ID: 9537186085 Enrollment ID: I20120119000305 |
| Provider Name | Mark Rj Mcgee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598931156 PECOS PAC ID: 5991963761 Enrollment ID: I20120224000383 |
| Provider Name | Kelly R Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265708713 PECOS PAC ID: 3274799606 Enrollment ID: I20120730000230 |
| Provider Name | Sally Kathryn Mathieson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275840712 PECOS PAC ID: 2860616745 Enrollment ID: I20140616001528 |
| Provider Name | Sabine Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740681642 PECOS PAC ID: 9234451972 Enrollment ID: I20141208000499 |
| Provider Name | Tina Brownley-stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730549031 PECOS PAC ID: 0840598108 Enrollment ID: I20160420000178 |
| Provider Name | Victoria Valdesuso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194725499 PECOS PAC ID: 5597668533 Enrollment ID: I20160812000482 |
| Provider Name | Lisa Chretien Erwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669911228 PECOS PAC ID: 4284902198 Enrollment ID: I20170710002714 |
| Provider Name | Jacqueline B Bilodeau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467971895 PECOS PAC ID: 1759647282 Enrollment ID: I20171115003366 |
| Provider Name | Roderic R Knights |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568971984 PECOS PAC ID: 2961760574 Enrollment ID: I20180102002317 |
| Provider Name | Lisa C Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063808210 PECOS PAC ID: 0345574653 Enrollment ID: I20190620000323 |
| Provider Name | John-paul Cloutier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205492196 PECOS PAC ID: 9638405434 Enrollment ID: I20190801000624 |
| Provider Name | Gina Pitocchelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366886426 PECOS PAC ID: 3173753886 Enrollment ID: I20200124000934 |
| Provider Name | Heidi Behrendt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023656584 PECOS PAC ID: 2466888516 Enrollment ID: I20200207001703 |
| Provider Name | Claudia M Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194331355 PECOS PAC ID: 2668883430 Enrollment ID: I20201130001552 |
| Provider Name | Josh Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902266091 PECOS PAC ID: 3870901960 Enrollment ID: I20210408001575 |
| Provider Name | Deidre Hester Plumley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275957805 PECOS PAC ID: 2062821812 Enrollment ID: I20210914003746 |
| Provider Name | Geraldine M Tookey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215922901 PECOS PAC ID: 8628245677 Enrollment ID: I20211007003652 |
| Provider Name | Crystal Leboeuf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033645726 PECOS PAC ID: 2163818287 Enrollment ID: I20220329002269 |
| Provider Name | Molly Wasson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760600944 PECOS PAC ID: 6002886595 Enrollment ID: I20221028000371 |
| Provider Name | Mary Hoft |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1992055503 PECOS PAC ID: 3476825480 Enrollment ID: I20230119001810 |
| Provider Name | Breck Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619411279 PECOS PAC ID: 6507135910 Enrollment ID: I20230601001244 |
| Provider Name | Theresa Masonbrink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770805277 PECOS PAC ID: 3476713249 Enrollment ID: I20230619000107 |
| Provider Name | Melanie Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073294708 PECOS PAC ID: 0042669566 Enrollment ID: I20231209000134 |
| Provider Name | Brenda Tighe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861804833 PECOS PAC ID: 8325490428 Enrollment ID: I20240113000033 |
| Provider Name | Gail Middlebrook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952479123 PECOS PAC ID: 9537511670 Enrollment ID: I20240115000334 |
| Provider Name | Patricia Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962638361 PECOS PAC ID: 0345692026 Enrollment ID: I20240118000797 |
| Provider Name | Kristin Mason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356091169 PECOS PAC ID: 3870946718 Enrollment ID: I20240127000016 |
| Provider Name | Janet Monette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689725681 PECOS PAC ID: 8224481163 Enrollment ID: I20240127000036 |
| Provider Name | Virgil J Kovachich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386709905 PECOS PAC ID: 3779936570 Enrollment ID: I20240201001881 |
| Provider Name | Olasunkanmi Abiodun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457994576 PECOS PAC ID: 5597164129 Enrollment ID: I20240205003208 |
| Provider Name | Andre Eason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275254518 PECOS PAC ID: 6002268976 Enrollment ID: I20240215000045 |
| Provider Name | Jane Bullock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437635760 PECOS PAC ID: 4688026784 Enrollment ID: I20240215000060 |
| Provider Name | Marjorie Trombly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124351945 PECOS PAC ID: 0345685475 Enrollment ID: I20240228004580 |
| Provider Name | Andrea L Seek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982627139 PECOS PAC ID: 2567402431 Enrollment ID: I20240415002609 |
| Provider Name | Noreen Shapiro-berry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548312945 PECOS PAC ID: 4587004429 Enrollment ID: I20240425003001 |
| Provider Name | Shari Lee Ryan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710125729 PECOS PAC ID: 5890135271 Enrollment ID: I20240502000937 |
| Provider Name | Jesse Roessler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821474214 PECOS PAC ID: 8123469731 Enrollment ID: I20240514002779 |
Enlightened Path Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Taylor St Ste 1, Newport, VT 05855 Phone: 802-673-9600 | |
Northeast Kingdom Human Services Inc Mh Adult Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Duchess St, Newport, VT 05855 Phone: 802-334-6744 Fax: 802-334-7340 | |
Northeast Kingdom Human Services Inc Mh Children Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Duchess St, Newport, VT 05855 Phone: 802-334-6744 Fax: 802-334-7340 | |
New Insights Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 29 Colfax St, Newport, VT 05855 Phone: 802-272-6648 | |
Northern Compass Counseling Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 578 E Main St, Newport, VT 05855 Phone: 802-487-4347 | |
Northeast Kingdom Human Services Inc Mh Waiver Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Duchess St, Newport, VT 05855 Phone: 802-334-6744 Fax: 802-334-7340 |