NORTHWESTERN COUNSELING & SUPPORT SERVICES INC – Community/Behavioral Health Agency, NPI 1063501476

NORTHWESTERN COUNSELING & SUPPORT SERVICES INC is a healthcare provider. based in Saint albans, Vermont. specializing in Community/Behavioral Health Agency. The NPI Number for NORTHWESTERN COUNSELING & SUPPORT SERVICES INC is 1063501476

Main info

Organization
Name
NORTHWESTERN COUNSELING & SUPPORT SERVICES INC
NPI
1063501476
Phone
(802) 524-6554
Address
107 FISHER POND RD
Authorized Official
DR. TED JOHN MABLE EXECUTIVE DIRECTOR ED.D.
Enumeration Date
12 October 2006
Last Update Date
10 September 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for NORTHWESTERN COUNSELING & SUPPORT SERVICES INC

  • Fisher Pond Road, Saint Albans, Franklin County, Vermont, 05478, United States

    SAINT ALBANS, VT 054786286

    Phone: (802) 524-6554

    Fax: (802) 524-6562

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (986 days ago).

Enrollment records

1

Earliest due date

2023-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040806000598OClinic/Group PracticeVT2023-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05478)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for NORTHWESTERN COUNSELING & SUPPORT SERVICES INC?
NORTHWESTERN COUNSELING & SUPPORT SERVICES INC — NPI 1063501476 — is the standard way to identify this listing.
Does CMS list NORTHWESTERN COUNSELING & SUPPORT SERVICES INC as active?
Yes — NORTHWESTERN COUNSELING & SUPPORT SERVICES INC is active in the NPI listing used on this page.
What taxonomy line describes NORTHWESTERN COUNSELING & SUPPORT SERVICES INC?
For research purposes, treat NORTHWESTERN COUNSELING & SUPPORT SERVICES INC as Community/Behavioral Health Agency in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for NORTHWESTERN COUNSELING & SUPPORT SERVICES INC?
NORTHWESTERN COUNSELING & SUPPORT SERVICES INC's geographic hint is Saint Albans, Vermont in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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