Organization
NORTHWESTERN COUNSELING & SUPPORT SERVICES INC
Active
Organization
NORTHWESTERN COUNSELING & SUPPORT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED JOHN MABLE ED.D. (EXECUTIVE DIRECTOR)
(802) 524-6555
Entity
Organization
Contact information
Practice address
107 FISHER POND RD, SAINT ALBANS, VT 05478-6286
(802) 524-6554
(802) 524-6562
Mailing address
107 FISHER POND RD, SAINT ALBANS, VT 05478-6286
(802) 524-6554
(802) 524-6562
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006103
—
VT
05
—
1001094
—
VT
05
—
1006107
—
VT
05
—
1006428
—
VT
05
—
1006629
—
VT
05
—
1007307
—
VT
05
—
1009766
—
VT
05
—
1009767
—
VT
01
—
2050939
CIGNA
VT
01
—
355023
MHN
VT
01
—
491116
VALUE OPTIONS
VT
01
—
66316
MVP
VT
01
—
CN7031
RR MEDICARE
VT
01
—
FRAN6103
BCBS
VT
Enumeration date
10/12/2006
Last updated
09/10/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up