Northeast Kingdom Trauma Intensives
Clinic/Center, Mental Health (Including Community Mental Health Center) in St Johnsbury, Vermont
1629792114- Practice location
- 293 Pearl St Ste 101, St Johnsbury, VT 05819-5641
- Phone
- 802-327-5902
- Fax
- —
- Last updated
- September 28, 2022
Northeast Kingdom Trauma Intensives is a healthcare organization based in St Johnsbury, VT. Northeast Kingdom Trauma Intensives practices in St Johnsbury, VT. The NPI Number for Northeast Kingdom Trauma Intensives is 1629792114. The current practice location address for Northeast Kingdom Trauma Intensives is 293 Pearl St Ste 101, St Johnsbury, VT 05819-5641 and can be reached out via phone at 802-327-5902.
Provider Profile Details
- NPI Number
- 1629792114
- Provider Name
- Northeast Kingdom Trauma Intensives
- Provider Entity Type
- Organization
- Address
- 293 Pearl St Ste 101, St Johnsbury, VT 05819-5641
- Phone Number
- 802-327-5902
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Dr. Jennifer Lynn Keith, PHD, LPC, LCHMC, NCC · Owner/Psychotherapist · 802-327-5902
- Provider Enumeration Date
- September 28, 2022
- Last Update Date
- September 28, 2022
- Certification Date
- September 28, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 293 Pearl St Ste 101
St Johnsbury, VT 05819-5641 - City
- St Johnsbury
- State
- Vermont
- Zip
- 05819-5641
- Phone Number
- 802-327-5902
Provider Business Mailing Address Details
- Address
- 751 Chesterfield Holw
Lyndonville, VT 05851-8530 - City
- Lyndonville
- State
- VT
- Zip
- 05851-8530
- Phone Number
- 540-797-5703
License Information
- Taxonomy (1)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (2)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (3)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Northeast Kingdom Trauma Intensives?
The NPI number of Northeast Kingdom Trauma Intensives is 1629792114. It was assigned on September 28, 2022 and is currently active in the NPPES registry.
What is the specialty of Northeast Kingdom Trauma Intensives?
Northeast Kingdom Trauma Intensives is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Northeast Kingdom Trauma Intensives practice?
The practice location is 293 Pearl St Ste 101, St Johnsbury, VT 05819-5641. The office can be reached at 802-327-5902 (phone).
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 1629792114 directly on the NPPES registry website.