LODGE PSYCHOTHERAPY
NPI 1255053930
Psychologist in Williston, VT
About Lodge Psychotherapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LODGE PSYCHOTHERAPY (NPI 1255053930) is a healthcare organization registered as a psychologist in Williston, Vermont and active in the NPI registry since September 2022. The organization lists Alexander Lodge, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lodge Psychotherapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lodge Psychotherapy, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Xander Lodge, Ma, Plc's NPI number?
The NPI number for Xander Lodge, Ma, Plc is 1255053930. It was assigned to this organization in the NPPES registry on September 19, 2022. The provider is doing business as Lodge Psychotherapy.
Where is Xander Lodge, Ma, Plc located?
Xander Lodge, Ma, Plc is located at 75 Talcott Rd Ste 30, Williston, VT 05495. The listed phone number is (802) 503-2929.
What is Xander Lodge, Ma, Plc's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Xander Lodge, Ma, Plc enrolled in Medicare?
Yes. Xander Lodge, Ma, Plc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Xander Lodge, Ma, Plc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Xander Lodge, Ma, Plc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Xander Lodge, Ma, Plc accept?
Health plans from Anthem Blue Cross and Blue Shield list Xander Lodge, Ma, Plc 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 Xander Lodge, Ma, Plc was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.