NORTHEAST KINGDOM HUMAN SERVICES INC MH WAIVER
NPI 1124152004
Clinic/Center - Mental Health (Including Community Mental Health Center) in Newport, VT

Q: What is Northeast Kingdom Human Services Inc Mh Waiver's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since March 15, 2007

154 DUCHESS ST, NEWPORT, VT 05855(802) 334-6744(802) 334-7340 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Northeast Kingdom Human Services Inc Mh Waiver NPPES

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

NORTHEAST KINGDOM HUMAN SERVICES INC MH WAIVER (NPI 1124152004) is a healthcare organization registered as a mental health (including community mental health center) in Newport, Vermont and active in the NPI registry since March 2007. The organization lists Eric Grims, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1124152004

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameNORTHEAST KINGDOM HUMAN SERVICES INC MH WAIVER

Location Address154 DUCHESS STNewport, VT 05855

Mailing AddressPo Box 724Newport, VT 05855-0724 · (802) 334-6744 · Fax (802) 334-7340

Phone(802) 334-6744

Fax(802) 334-7340

Organization SubpartNo

Authorized OfficialEric GrimsChief Executive Officer · (802) 334-6744

Enumeration DateMarch 15, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1124152004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

154 DUCHESS ST, Newport, VT 05855

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Other Identifiers 1

Medicaid6030005VT

Other Providers at the Same Location NPPES 10

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

NORTHEAST KINGDOM HUMAN SERVICES INC MH ADULT

Clinic/Center (Adult Mental Health)