Active NPIIndividual providerSole proprietor

Mr. Robert A Pelosi, NCC, LCMHC

Counselor, Mental Health in Jacksonville, Vermont

NPI Number1578690772
Practice location
610 Vermont Rte 100, Jacksonville, VT 05342
Fax
802-368-2220
Last updated
September 13, 2012

Robert A Pelosi is a Counselor, Mental Health based in Jacksonville, VT. Robert A Pelosi practices in Jacksonville, VT and has the professional credentials of NCC, LCMHC. The NPI Number for Robert A Pelosi is 1578690772 and holds a License No. 004004 (NY). The current practice location address for Robert A Pelosi is 610 Vermont Rte 100, Jacksonville, VT 05342 and can be reached out via phone at 802-368-2220 and via fax at 802-368-2220.

Provider Profile Details

NPI Number
1578690772
Provider Name
Robert A Pelosi
Credential
NCC, LCMHC
Provider Entity Type
Individual
Gender
Male
Address
610 Vermont Rte 100, Jacksonville, VT 05342
Phone Number
802-368-2220
Fax Number
802-368-2220
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
February 27, 2007
Last Update Date
September 13, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
610 Vermont Rte 100
Jacksonville, VT 05342
State
Vermont
Zip
05342
Phone Number
802-368-2220
Fax Number
802-368-2220
Jacksonville, VT 05342Get directions →

Provider Business Mailing Address Details

Address
Po Box 416
Wilmington, VT 05363-0416
City
Wilmington
State
VT
Zip
05363-0416
Phone Number
802-464-0543
Fax Number
802-464-0543

License Information

License Number (1)
004004
License State (1)
NY
Taxonomy (1)
Counselor, Mental Health · 101YM0800X · Primary
License Number (2)
068.0089265
License State (2)
VT
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

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. Robert A Pelosi, NCC, LCMHC?

The NPI number of Mr. Robert A Pelosi, NCC, LCMHC is 1578690772. It was assigned on February 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Robert A Pelosi, NCC, LCMHC?

Mr. Robert A Pelosi, NCC, LCMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number 004004.

Where does Mr. Robert A Pelosi, NCC, LCMHC practice?

The practice location is 610 Vermont Rte 100, Jacksonville, VT 05342. The office can be reached at 802-368-2220 (phone) or 802-368-2220 (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 1578690772 directly on the NPPES registry website.

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