Active NPIIndividual provider

Mr. Philip Lightbear, MA LADC CADC

Counselor, Addiction (Substance Use Disorder) in St Johnsburg, Vermont

NPI Number1548435696
Practice location
108 Cherry Street Suite 1, St Johnsburg, VT 05819
Fax
802-748-9014
Last updated
April 29, 2008

Philip Lightbear is a Counselor, Addiction (Substance Use Disorder) based in St Johnsburg, VT. Philip Lightbear practices in St Johnsburg, VT and has the professional credentials of MA LADC CADC. The NPI Number for Philip Lightbear is 1548435696 and holds a License No. 000420 (VT). The current practice location address for Philip Lightbear is 108 Cherry Street Suite 1, St Johnsburg, VT 05819 and can be reached out via phone at 802-748-8842 and via fax at 802-748-9014.

Provider Profile Details

NPI Number
1548435696
Provider Name
Philip Lightbear
Credential
MA LADC CADC
Provider Entity Type
Individual
Gender
Male
Address
108 Cherry Street Suite 1, St Johnsburg, VT 05819
Phone Number
802-748-8842
Fax Number
802-748-9014
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
April 29, 2008
Last Update Date
April 29, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
108 Cherry Street Suite 1
St Johnsburg, VT 05819
State
Vermont
Zip
05819
Phone Number
802-748-8842
Fax Number
802-748-9014
St Johnsburg, VT 05819Get directions →

Provider Business Mailing Address Details

Address
108 Cherry Street Suite 1
St Johnsburg, VT 05819
City
St Johnsburg
State
VT
Zip
05819
Phone Number
802-748-8842
Fax Number
802-748-9014

License Information

License Number
000420
License State
VT
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Mr. Philip Lightbear, MA LADC CADC?

The NPI number of Mr. Philip Lightbear, MA LADC CADC is 1548435696. It was assigned on April 29, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Philip Lightbear, MA LADC CADC?

Mr. Philip Lightbear, MA LADC CADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 000420.

Where does Mr. Philip Lightbear, MA LADC CADC practice?

The practice location is 108 Cherry Street Suite 1, St Johnsburg, VT 05819. The office can be reached at 802-748-8842 (phone) or 802-748-9014 (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 1548435696 directly on the NPPES registry website.

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