Reilly, James Peter
Reilly, James Peter is an individual health care provider with primary practice located at 100 Ledgehill Rd , Bennington VT 05201-2273. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Reilly, James Peter can be contacted via phone (802) 442-5491.Contact Information
Primary practice address
100 Ledgehill Rd
Bennington VT 05201-2273
Phone: (802) 442-5491
Fax: (802) 442-3363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 000202 | Vermont |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 0680000302 | Vermont |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000202 | Vermont |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0680000302 | Vermont |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 000202 | Vermont |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 068-0000302 | Vermont |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 000202 | Vermont |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 068-0000302 | Vermont |
Profile Details
| NPI number | 1427068733 |
|---|---|
| LBN Legal business name | Reilly, James Peter |
| Credentials | LCMHC, LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Oct 2nd, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427068733 | NPPES |
| Other | 29290 | BLUE CROSS | |
| Other | 2032395 | BLUE CROSS | |
| Other | 153417 | BLUE CROSS | |
| MEDICAID | 1007298 | BLUE CROSS | |
| Other | 249131 | BLUE CROSS |
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