MARY BISSONWARD LADC, LCMHC
NPI 1639221369
Counselor in St Johnsbury, VT

Q: What is Mary Bissonward's NPI number?

The NPI number for Mary Bissonward is 1639221369. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Q: What is Mary Bissonward's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Bissonward was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment

297 SUMMER ST, ST JOHNSBURY, VT 05819(802) 748-1682(802) 748-0211 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Bissonward Ladc, Lcmhc NPPES

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

MARY BISSONWARD LADC, LCMHC (NPI 1639221369) is an individual counselor in St Johnsbury, Vermont, licensed in Vermont (068-0000391) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1639221369

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMARY BISSONWARDCredential: LADC, LCMHC

Location Address297 SUMMER STSt Johnsbury, VT 05819

Mailing Address144 South Main StHardwick, VT 05843

Phone(802) 748-1682

Fax(802) 748-0211

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateJanuary 16, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639221369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in VT · 068-0000391

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

297 SUMMER ST, St Johnsbury, VT 05819

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Other Identifiers 1

Medicaid1012109VT

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Bissonward Ladc, Lcmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769827591

PECOS Enrollment IDI20240301003143

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.

Other Providers at the Same Location NPPES 4

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

BONNIE L BASSETT LADC

Counselor

297 SUMMER ST
ST JOHNSBURY, VT 05819

Caledonia County (802) 748-1682

MR. GERALD A ZICKLER LADC

Counselor

297 SUMMER ST
ST JOHNSBURY, VT 05819

Caledonia County (802) 748-1682

MS. BONITA E FAZIO LICSW

Social Worker (Clinical)

297 SUMMER ST, KINGDOM RECOVERY CENTER
ST JOHNSBURY, VT 05819

Caledonia County (802) 748-2524

JOHANNA ESTHER RAWSON LADC

Counselor

297 SUMMER ST
ST JOHNSBURY, VT 05819

Caledonia County (802) 748-1682

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 Mary Bissonward's NPI number?

The NPI number for Mary Bissonward is 1639221369. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Mary Bissonward located?

Mary Bissonward practices at 297 Summer St, St Johnsbury, VT 05819. The listed phone number is (802) 748-1682.

What is Mary Bissonward's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Mary Bissonward enrolled in Medicare?

Yes. Mary Bissonward is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Bissonward accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Mary Bissonward 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 Mary Bissonward was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.