Northwestern Counseling & Support Services Inc

LBN: Northwestern Counseling & Support Services Inc
Northwestern Counseling & Support Services Inc is an health care organization with primary practice located at 107 Fisher Pond Rd , Saint Albans VT 05478-6286. The organization recently has 11 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Community/Behavioral Health is the primary health care specialty. Northwestern Counseling & Support Services Inc can be contacted via phone (802) 524-6554, or through Mable, Ted John via phone (802) 524-6555.

Contact Information

Primary practice address
107 Fisher Pond Rd Saint Albans VT 05478-6286
Phone: (802) 524-6554
Fax: (802) 524-6562
Website:
Map and Directions
Authorized official contact:
Name: Mable, Ted John ED.D.
Phone: (802) 524-6555

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Public Health or Welfare 251K00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1063501476
LBN Legal business name Northwestern Counseling & Support Services Inc
DBA Doing business as
Authorized official Mable, Ted John ED.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Sep 10th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063501476 NPPES
Vermont MEDICAID 1006428
Vermont Other 491116
Vermont MEDICAID 1006107
Vermont MEDICAID 1006629
Vermont Other 355023
Vermont Other FRAN6103
Vermont MEDICAID 0006103
Vermont MEDICAID 1009767
Vermont MEDICAID 1009766
Vermont Other 2050939
Vermont MEDICAID 1007307
Vermont Other CN7031
Vermont Other 66316
Vermont MEDICAID 1001094

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