CLARA MARTIN CENTER
NPI 1053679266
Community/Behavioral Health in Randolph, VT

Q: What is Clara Martin Center's NPI number?

The NPI number for Clara Martin Center is 1053679266. It was assigned to this organization in the NPPES registry on April 25, 2012.

Q: What is Clara Martin Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since April 25, 2012CLIA 47D2293285 · Waiver

11 MAIN STREET, RANDOLPH, VT 05060(802) 728-4466(802) 728-4197 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Clara Martin Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARA MARTIN CENTER (NPI 1053679266) is a healthcare organization registered as a community/behavioral health in Randolph, Vermont and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Tom Breslin, Controller, as its authorized official.

NPPES Registry Identity

NPI1053679266

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCLARA MARTIN CENTER

Location Address11 MAIN STREETRandolph, VT 05060

Mailing AddressPo Box GRandolph, VT 05060-0167 · (802) 728-4466 · Fax (802) 728-4197

Phone(802) 728-4466

Fax(802) 728-4197

Organization SubpartNo

Authorized OfficialTom BreslinController · (802) 728-4466

Enumeration DateApril 25, 2012

Last NPPES UpdateMay 3, 2012

✔ NPI 1053679266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

11 MAIN STREET, Randolph, VT 05060

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 47D2293285

Clara Martin Center · Wilder, VT

Active · expires Nov 6, 2027

CLIA Number47D2293285

Laboratory TypePractitioner Other

Certificate Effective DateNovember 7, 2025

Certificate Expiration DateNovember 6, 2027

Laboratory DirectorKevin Buchanan

Laboratory Phone(802) 728-4466

Laboratory LocationClara Martin Center39 Fogg Farm Rd, Wilder, VT 05088

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA SCHUPP LCMHC

Counselor (Mental Health)

11 MAIN STREET
RANDOLPH, VT 05060

Orange County (802) 728-4466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clara Martin Center's NPI number?

The NPI number for Clara Martin Center is 1053679266. It was assigned to this organization in the NPPES registry on April 25, 2012.

Where is Clara Martin Center located?

Clara Martin Center is located at 11 Main Street, Randolph, VT 05060. The listed phone number is (802) 728-4466.

What is Clara Martin Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Clara Martin Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D2293285) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clara Martin Center was last updated on May 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.