Active NPIIndividual provider

Ms. Kathryn A Pedersen, MA (2) LCMHC

Counselor, Mental Health in Springfield, Vermont

NPI Number1033280177
Practice location
390 River St, Springfield, VT 05156-2226
Fax
802-886-4520
Last updated
April 26, 2023

Kathryn A Pedersen is a Counselor, Mental Health based in Springfield, VT. Kathryn A Pedersen practices in Springfield, VT and has the professional credentials of MA (2) LCMHC. The NPI Number for Kathryn A Pedersen is 1033280177 and holds a License No. 9491 (NC). The current practice location address for Kathryn A Pedersen is 390 River St, Springfield, VT 05156-2226 and can be reached out via phone at 802-886-4500 and via fax at 802-886-4520.

Provider Profile Details

NPI Number
1033280177
Provider Name
Kathryn A Pedersen
Credential
MA (2) LCMHC
Provider Entity Type
Individual
Gender
Female
Address
390 River St, Springfield, VT 05156-2226
Phone Number
802-886-4500
Fax Number
802-886-4520
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
November 12, 2006
Last Update Date
April 26, 2023
Certification Date
April 26, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
390 River St
Springfield, VT 05156-2226
State
Vermont
Zip
05156-2226
Phone Number
802-886-4500
Fax Number
802-886-4520
Springfield, VT 05156Get directions →

Provider Business Mailing Address Details

Address
390 River St
Springfield, VT 05156-2226
City
Springfield
State
VT
Zip
05156-2226
Phone Number
802-886-4500
Fax Number
802-886-4520

License Information

License Number (1)
9491
License State (1)
NC
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
068.0000365
License State (2)
VT
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Kathryn A Pedersen, MA (2) LCMHC?

The NPI number of Ms. Kathryn A Pedersen, MA (2) LCMHC is 1033280177. It was assigned on November 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Kathryn A Pedersen, MA (2) LCMHC?

Ms. Kathryn A Pedersen, MA (2) LCMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NC under license number 9491.

Where does Ms. Kathryn A Pedersen, MA (2) LCMHC practice?

The practice location is 390 River St, Springfield, VT 05156-2226. The office can be reached at 802-886-4500 (phone) or 802-886-4520 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033280177 directly on the NPPES registry website.

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