| Northwestern Counseling & Support Services Inc | |
|
107 Fisher Pond Rd Saint Albans VT 05478-6286 | |
| (802) 524-6554 | |
| (802) 524-6562 |
| Full Name | Northwestern Counseling & Support Services Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 107 Fisher Pond Rd, Saint Albans, Vermont |
| Authorized Official Name and Position | Ted John Mable (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8025246555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Counseling & Support Services Inc 107 Fisher Pond Rd Saint Albans VT 05478-6286 Ph: (802) 524-6554 | Northwestern Counseling & Support Services Inc 107 Fisher Pond Rd Saint Albans VT 05478-6286 Ph: (802) 524-6554 |
| NPI Number | 1063501476 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 09/10/2015 |
| Medicare PECOS PAC ID | 3678545159 |
|---|---|
| Medicare Enrollment ID | O20040806000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063501476 | NPI | - | NPPES |
| 1006428 | Medicaid | VT | |
| 491116 | Other | VT | VALUE OPTIONS |
| 1006107 | Medicaid | VT | |
| 1006629 | Medicaid | VT | |
| 355023 | Other | VT | MHN |
| FRAN6103 | Other | VT | BCBS |
| 0006103 | Medicaid | VT | |
| 1009767 | Medicaid | VT | |
| 1009766 | Medicaid | VT | |
| 2050939 | Other | VT | CIGNA |
| 1007307 | Medicaid | VT | |
| CN7031 | Other | VT | RR MEDICARE |
| 66316 | Other | VT | MVP |
| 1001094 | Medicaid | VT |
| Provider Name | Kenneth L Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568437051 PECOS PAC ID: 3870485840 Enrollment ID: I20040325000972 |
| Provider Name | Stephen Michael Broer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255306528 PECOS PAC ID: 7113903766 Enrollment ID: I20040625000178 |
| Provider Name | David Richard Mooney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609841881 PECOS PAC ID: 0749208478 Enrollment ID: I20051110000499 |
| Provider Name | Steven N Sobel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043286677 PECOS PAC ID: 7012930514 Enrollment ID: I20060111000308 |
| Provider Name | Adrian L Webb |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1700850484 PECOS PAC ID: 6103848890 Enrollment ID: I20071017000679 |
| Provider Name | John P Oneill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346200672 PECOS PAC ID: 2466525316 Enrollment ID: I20080725000007 |
| Provider Name | Harris Kiva Strokoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497866701 PECOS PAC ID: 0840354619 Enrollment ID: I20090123000306 |
| Provider Name | Casey Patunoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801061130 PECOS PAC ID: 4981752698 Enrollment ID: I20090507000452 |
| Provider Name | Belinda O Bessette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467635888 PECOS PAC ID: 3476695487 Enrollment ID: I20100128000416 |
| Provider Name | Deana L Chase |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952668428 PECOS PAC ID: 9638334733 Enrollment ID: I20120622000004 |
| Provider Name | Amber L Schaeffler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649686379 PECOS PAC ID: 4880812577 Enrollment ID: I20140821000499 |
| Provider Name | Ellen K Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578856704 PECOS PAC ID: 4183842370 Enrollment ID: I20140829002074 |
| Provider Name | Paul Norris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366772865 PECOS PAC ID: 4688988132 Enrollment ID: I20150729006632 |
| Provider Name | Hannah J Engelken |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770930398 PECOS PAC ID: 2567757438 Enrollment ID: I20160817002078 |
| Provider Name | Julia F Kimball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831542075 PECOS PAC ID: 8820385172 Enrollment ID: I20160929002058 |
| Provider Name | Katharina J Diessel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750818670 PECOS PAC ID: 2466729801 Enrollment ID: I20170606001835 |
| Provider Name | Hillary Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629515598 PECOS PAC ID: 3577832377 Enrollment ID: I20170711001935 |
| Provider Name | Anne Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770004566 PECOS PAC ID: 0941572408 Enrollment ID: I20170817001896 |
| Provider Name | Casey Lynn Smith-speirs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316330434 PECOS PAC ID: 7517287162 Enrollment ID: I20180307000591 |
| Provider Name | Matthew Perret |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003329335 PECOS PAC ID: 2365703212 Enrollment ID: I20180309001857 |
| Provider Name | Jennifer E Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518349554 PECOS PAC ID: 8628385424 Enrollment ID: I20190215002330 |
| Provider Name | Nicholas Adam Nowalk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134886963 PECOS PAC ID: 0446617948 Enrollment ID: I20230526000827 |
| Provider Name | Jessica Dewes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174044408 PECOS PAC ID: 7618317025 Enrollment ID: I20240502002038 |
| Provider Name | Sarah Kenny |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972283018 PECOS PAC ID: 7911347232 Enrollment ID: I20240502002896 |
| Provider Name | Tammy Lynn Leombruno |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164554176 PECOS PAC ID: 7719327964 Enrollment ID: I20240503003495 |
| Provider Name | Andrea J Yandow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003912593 PECOS PAC ID: 8628418878 Enrollment ID: I20240503003498 |
| Provider Name | Margaret Maley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235889338 PECOS PAC ID: 3173963329 Enrollment ID: I20240503003517 |
| Provider Name | Amanda Morong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700241569 PECOS PAC ID: 3678913829 Enrollment ID: I20240504000082 |
| Provider Name | Anthony J Stevens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841265808 PECOS PAC ID: 5496195646 Enrollment ID: I20240504000096 |
| Provider Name | Rebecca Westcom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225810864 PECOS PAC ID: 1557701653 Enrollment ID: I20240506001637 |
| Provider Name | Laura R Companion |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386384998 PECOS PAC ID: 6002256120 Enrollment ID: I20240506003270 |
| Provider Name | Aidan Potter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457040354 PECOS PAC ID: 6800236936 Enrollment ID: I20240506003753 |
| Provider Name | Stephen Cousino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841654019 PECOS PAC ID: 8628510385 Enrollment ID: I20240610001129 |
| Provider Name | John X Dou |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336339910 PECOS PAC ID: 7113469883 Enrollment ID: I20240610001378 |
| Provider Name | Celine Blondel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659060648 PECOS PAC ID: 6002359239 Enrollment ID: I20240617001809 |
| Provider Name | Jessica L Maple |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629384383 PECOS PAC ID: 0345786158 Enrollment ID: I20240729000541 |
| Provider Name | Caroline Attley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184454134 PECOS PAC ID: 2860933454 Enrollment ID: I20240923003382 |
| Provider Name | Katharine Tierney Mable |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124179122 PECOS PAC ID: 5092245829 Enrollment ID: I20250210001900 |
| Provider Name | Veronica Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851141774 PECOS PAC ID: 0749710275 Enrollment ID: I20250212002622 |
| Provider Name | Ronald Caldwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376352096 PECOS PAC ID: 0244760742 Enrollment ID: I20250213001336 |
| Provider Name | Kevin King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013771260 PECOS PAC ID: 7517487440 Enrollment ID: I20250224000303 |
| Provider Name | Holly Branon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750031100 PECOS PAC ID: 5092237404 Enrollment ID: I20250314001469 |
| Provider Name | Christopher Antaya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760246888 PECOS PAC ID: 4183141377 Enrollment ID: I20250512000721 |
The Richford Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Fairfield St, Saint Albans, VT 05478 Phone: 802-527-4151 | |
Northwestern Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Crest Rd, Saint Albans, VT 05478 Phone: 802-524-8805 Fax: 802-524-8488 | |
The Richford Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12 Crest Rd, Saint Albans, VT 05478 Phone: 802-255-5500 | |
Premise Health Of Vermont Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Lake St, Saint Albans, VT 05478 Phone: 802-524-8505 Fax: 802-527-2807 | |
Clearchoicemd Primary Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 178 Swanton Rd, Saint Albans, VT 05478 Phone: 802-528-5100 Fax: 802-528-5793 | |
Hospitalist Medicine Physicians Of Vermont-tcg, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 133 Fairfield St, Saint Albans, VT 05478 Phone: 802-524-5911 |