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Contact Information

NORTHWESTERN COUNSELING & SUPPORT SERVICES
107 FISHER POND ROAD
SAINT ALBANS CITY, VT05478-6286
 Phone: 802-524-6554
 Fax: 802-524-6562
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Developmental Disabilities

261QD1600X
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for NORTHWESTERN COUNSELING & SUPPORT SERVICES

NPI Number 1780708263
LBN Legal business name NORTHWESTERN COUNSELING & SUPPORT SERVICES
Authorized official TED MABLE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2007
Last updated 11/18/2013 - About 13 years ago
Identifiers
VT Medicaid 1006630
VT Medicaid 6030001
VT Medicaid 6040012
VT Other FRAN6103 BCBS
VT Other 2050939 CIGNA
VT Other 355023 MHN
VT Other 66316 MVP
VT Other CN7031 RR MEDICARE
VT Other 491116 VALUE OPTIONS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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