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MYSTIC HORIZONS, LLC
NPI 1225706195
Social Worker - Clinical in Hinesburg, VT

Active since September 03, 2021
4995 SILVER ST, HINESBURG, VT 05461(802) 734-5864 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mystic Horizons, Llc NPPES

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

MYSTIC HORIZONS, LLC (NPI 1225706195) is a healthcare organization registered as a clinical in Hinesburg, Vermont and active in the NPI registry since September 2021. The organization lists Ashley Marie Mccullough, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1225706195
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMYSTIC HORIZONS, LLC
Location Address4995 SILVER STHinesburg, VT 05461-9487
Mailing Address4995 Silver StHinesburg, VT 05461-9487 · (802) 734-5864
Phone(802) 734-5864
Organization SubpartNo
Authorized OfficialAshley Marie McculloughLicensed Clinical Social Worker · (802) 734-5864
Enumeration DateSeptember 3, 2021
NPPES CertifiedSeptember 3, 2021
✔ NPI 1225706195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4995 SILVER ST, Hinesburg, VT 05461
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 Mystic Horizons, LLC's NPI number?

The NPI number for Mystic Horizons, LLC is 1225706195. It was assigned to this organization in the NPPES registry on September 3, 2021.

Where is Mystic Horizons, LLC located?

Mystic Horizons, LLC is located at 4995 Silver St, Hinesburg, VT 05461. The listed phone number is (802) 734-5864.

What is Mystic Horizons, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Mystic Horizons, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Mystic Horizons, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mystic Horizons, LLC was last updated on September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.