MRS. GREETA MAE SODERHOLM LICSW, LADC
NPI 1609381094
Counselor - Addiction (Substance Use Disorder) in Burlington, VT

Active since December 06, 2017PECOS Enrolled
76 GLEN RD, BURLINGTON, VT 05401(802) 864-7467(802) 864-1619 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Greeta Mae Soderholm Licsw, Ladc NPPES

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

MRS. GREETA MAE SODERHOLM LICSW, LADC (NPI 1609381094) is an individual addiction (substance use disorder) provider in Burlington, Vermont, licensed in Vermont (151.0125896) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609381094
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. GREETA MAE SODERHOLMCredential: LICSW, LADC
Location Address76 GLEN RDBurlington, VT 05401-4131
Mailing Address76 Glen RdBurlington, VT 05401-4131 · (802) 864-7467 · Fax (802) 864-1619
Fax(802) 864-1619
Sole ProprietorNo
Enumeration DateDecember 6, 2017
✔ NPI 1609381094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in VT · 151.0125896
76 GLEN RD, Burlington, VT 05401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Greeta Mae Soderholm Licsw, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Greeta Soderholm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

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

Counselor
76 GLEN RD
BURLINGTON, VT 05401
Counselor
76 GLEN RD
BURLINGTON, VT 05401
Counselor (Addiction (Substance Use Disorder))
76 GLEN RD
BURLINGTON, VT 05401
Community Based Residential Treatment Facility, Mental Illness
76 GLEN RD
BURLINGTON, VT 05401
Social Worker (Clinical)
76 GLEN RD
BURLINGTON, VT 05401
Social Worker
76 GLEN RD
BURLINGTON, VT 05401
Counselor (Mental Health)
76 GLEN RD
BURLINGTON, VT 05401
Case Manager/Care Coordinator
76 GLEN RD
BURLINGTON, VT 05401

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 Greeta Soderholm's NPI number?

The NPI number for Greeta Soderholm is 1609381094. It was assigned to this individual provider in the NPPES registry on December 6, 2017.

Where is Greeta Soderholm located?

Greeta Soderholm practices at 76 Glen Rd, Burlington, VT 05401. The listed phone number is (802) 864-7467.

What is Greeta Soderholm's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Greeta Soderholm enrolled in Medicare?

Yes. Greeta Soderholm is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Greeta Soderholm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Greeta Soderholm reassigns Medicare benefits to University Of Vermont Medical Center Inc (Burlington, VT). The 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 Greeta Soderholm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Greeta Soderholm accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Greeta Soderholm 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 Greeta Soderholm was last updated on December 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.