Northwestern Counseling & Support Services Inc
Mental Illness Community Based Residential Treatment Facility in Saint Albans, Vermont
NPI 1063501476
Northwestern Counseling & Support Services Inc is a Mental Illness Community Based Residential Treatment Facility based in Saint Albans, VT. Northwestern Counseling & Support Services Inc practices in Saint Albans, VT. The NPI Number for Northwestern Counseling & Support Services Inc is 1063501476 and holds a License No. (Vermont).
The current practice location address for Northwestern Counseling & Support Services Inc is 107 Fisher Pond Rd, Saint Albans, VT and can be reached out via phone at 802-524-6554 and via fax at 802-524-6562.
Location: 107 Fisher Pond Rd, Saint Albans, VT, 05478-6286
Provider Profile Details
NPI Number
1063501476
Provider Name
Northwestern Counseling & Support Services Inc
Credential
Provider Entity Type
Organization
Address
107 Fisher Pond Rd, Saint Albans, VT, 05478-6286
Phone Number
802-524-6554
Fax Number
802-524-6562
Provider Enumeration Date
10/12/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006428 | 05 | VT | |
| 491116 | 01 | VT | VALUE OPTIONS |
| 1006107 | 05 | VT | |
| 1006629 | 05 | VT | |
| 355023 | 01 | VT | MHN |
| FRAN6103 | 01 | VT | BCBS |
| 0006103 | 05 | VT | |
| 1009767 | 05 | VT | |
| 1009766 | 05 | VT | |
| 2050939 | 01 | VT | CIGNA |
| 1007307 | 05 | VT | |
| CN7031 | 01 | VT | RR MEDICARE |
| 66316 | 01 | VT | MVP |
| 1001094 | 05 | VT |
Provider Business Practice Location Address Details
Address
107 Fisher Pond Rd
City
State
Zip
05478-6286
Phone Number
802-524-6554
Fax Number
802-524-6562
Provider Business Mailing Address Details
Address
107 Fisher Pond Rd
City
State
Zip
05478-6286
Phone Number
802-524-6554
Fax Number
802-524-6562
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Provider's Taxonomy Details 8
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Provider's Taxonomy Details 9
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Provider's Taxonomy Details 10
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Provider's Taxonomy Details 11
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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