# UNITED COUNSELING SERVICE OF BENNINGTON COUNTY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427104132
- **Authorized official:** LORNA W MATTERN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (802) 442-5491

## Contact information

- **Practice address:** 100 LEDGEHILL RD, BENNINGTON, VT 05201-2273
- **Practice address phone:** (802) 442-5491
- **Mailing address:** PO BOX 588, BENNINGTON, VT 05201-0588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 310400000X | Assisted Living Facility | — | NULL | — |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 05/07/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0006139 | — | VT |
| 05 | — | 047W088 | — | VT |
| 01 | — | 073487 | VALUE OPTIONS | — |
| 05 | — | 1001095 | — | VT |
| 05 | — | 1005330 | — | VT |
| 05 | — | 1006426 | — | VT |
| 05 | — | 1007294 | — | VT |
| 05 | — | 1007386 | — | VT |
| 05 | — | 1009768 | — | VT |
| 05 | — | 1009769 | — | VT |
| 05 | — | 1015699 | — | VT |
| 01 | — | 1765 | CDPHP | — |
| 01 | — | 2032392 | CIGNA | — |
| 01 | — | 261642 | MASS BLUE CROSS | — |
| 01 | — | 341565 | TRICARE | — |
| 05 | — | 6030008 | — | VT |
| 01 | — | 6139 | VT BLUE CROSS | VT |
| 01 | — | 63941 | MVP | — |
| 01 | — | 7010136 | AETNA | VT |