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NORTHEAST KINGDOM TRAUMA INTENSIVES
NPI 1629792114
Clinic/Center - Mental Health (Including Community Mental Health Center) in St Johnsbury, VT

Active since September 28, 2022
293 PEARL ST STE 101, ST JOHNSBURY, VT 05819(802) 327-5902 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northeast Kingdom Trauma Intensives NPPES

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

NORTHEAST KINGDOM TRAUMA INTENSIVES (NPI 1629792114) is a healthcare organization registered as a mental health (including community mental health center) in St Johnsbury, Vermont and active in the NPI registry since September 2022. The organization lists Jennifer Lynn Keith, Owner/psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1629792114
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNORTHEAST KINGDOM TRAUMA INTENSIVES
Location Address293 PEARL ST STE 101St Johnsbury, VT 05819-5641
Mailing Address751 Chesterfield HolwLyndonville, VT 05851-8530 · (540) 797-5703
Phone(802) 327-5902
Organization SubpartNo
Authorized OfficialJennifer Lynn KeithOwner/psychotherapist · (802) 327-5902
Enumeration DateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
✔ NPI 1629792114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
293 PEARL ST STE 101, St Johnsbury, VT 05819
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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 Northeast Kingdom Trauma Intensives's NPI number?

The NPI number for Northeast Kingdom Trauma Intensives is 1629792114. It was assigned to this organization in the NPPES registry on September 28, 2022.

Where is Northeast Kingdom Trauma Intensives located?

Northeast Kingdom Trauma Intensives is located at 293 Pearl St Ste 101, St Johnsbury, VT 05819. The listed phone number is (802) 327-5902.

What is Northeast Kingdom Trauma Intensives'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.

When was this NPI record last updated?

The NPPES record for Northeast Kingdom Trauma Intensives was last updated on September 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.