Northwestern Counseling & Support Services

LBN: Northwestern Counseling & Support Services
Northwestern Counseling & Support Services is an health care organization with primary practice located at 107 Fisher Pond Road , Saint Albans VT 05478-6286. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Agencies / Community/Behavioral Health is the primary health care specialty. Northwestern Counseling & Support Services can be contacted via phone (802) 524-6554, or through Mable, Ted John via phone (802) 524-6555.

Contact Information

Primary practice address
107 Fisher Pond Road Saint Albans VT 05478-6286
Phone: (802) 524-6554
Fax: (802) 524-6562
Website:
Map and Directions
Authorized official contact:
Name: Mable, Ted John ED.D.
Phone: (802) 524-6555

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1699899187
LBN Legal business name Northwestern Counseling & Support Services
DBA Doing business as
Authorized official Mable, Ted John ED.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Nov 18th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699899187 NPPES
Vermont Other CN7031 RR MEDICARE
Vermont Other 355023 RR MEDICARE
Vermont Other 66316 RR MEDICARE
Vermont Other 491116 RR MEDICARE
Vermont MEDICAID 1008203 RR MEDICARE
Vermont Other FRAN6103 RR MEDICARE
Vermont Other 2050939 RR MEDICARE

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