Active NPIIndividual provider

Mrs. Kimberly D Lightbear, MA LADC

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

NPI Number1740452416
Practice location
108 Cherry Street, St Johnsbury, VT 05819
Fax
802-748-9014
Last updated
April 2, 2008

Kimberly Dena Lightbear is a Counselor, Addiction (Substance Use Disorder) based in St Johnsbury, VT. Kimberly Dena Lightbear practices in St Johnsbury, VT and has the professional credentials of MA LADC. The NPI Number for Kimberly Dena Lightbear is 1740452416 and holds a License No. 000418 (VT). The current practice location address for Kimberly Dena Lightbear is 108 Cherry Street, St Johnsbury, 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
1740452416
Provider Name
Kimberly Dena Lightbear
Credential
MA LADC
Provider Entity Type
Individual
Gender
Female
Address
108 Cherry Street, St Johnsbury, 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 2, 2008
Last Update Date
April 2, 2008
NPI Status
Active

Provider Business Practice Location Address Details

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

Provider Business Mailing Address Details

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

License Information

License Number
000418
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 Mrs. Kimberly D Lightbear, MA LADC?

The NPI number of Mrs. Kimberly D Lightbear, MA LADC is 1740452416. It was assigned on April 2, 2008 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kimberly D Lightbear, MA LADC?

Mrs. Kimberly D Lightbear, MA LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 000418.

Where does Mrs. Kimberly D Lightbear, MA LADC practice?

The practice location is 108 Cherry Street, St Johnsbury, 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 1740452416 directly on the NPPES registry website.

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