PHIL PROTHERO MA, MDIV, LCMHC
NPI 1932279890
Counselor - Mental Health in White River Junction, VT

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
205 BILLINGS FARM RD STE 2D, WHITE RIVER JUNCTION, VT 05001(802) 356-1731 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phil Prothero Ma, Mdiv, Lcmhc NPPES

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

PHIL PROTHERO MA, MDIV, LCMHC (NPI 1932279890) is an individual mental health provider in White River Junction, Vermont, licensed in Vermont (068.0076445) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Everett, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1932279890
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NamePHIL PROTHEROCredential: MA, MDIV, LCMHC
Location Address205 BILLINGS FARM RD STE 2DWhite River Junction, VT 05001
Mailing AddressPo Box 1132White River Junction, VT 05001-1132 · (802) 356-1731
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 8, 2006
Last NPPES UpdateMay 21, 2018
NPI 1932279890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in VT · 068.0076445 Licensed in WA · RC00047624 Licensed in WA · LH00011059
205 BILLINGS FARM RD STE 2D, White River Junction, VT 05001

Secondary Practice Location 1

Location 12722 Colby Ave, Suite 721Everett, WA 98201-3557 · Phone (425) 344-8422

Accepted 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

Phil Prothero Ma, Mdiv, 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 ID3870939309
PECOS Enrollment IDI20240307000336
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

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

Counselor (Professional)
205 BILLINGS FARM RD STE 2D
WHITE RIVER JUNCTION, VT 05001

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 Phil Prothero's NPI number?

The NPI number for Phil Prothero is 1932279890. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Phil Prothero located?

Phil Prothero practices at 205 Billings Farm Rd Ste 2D, White River Junction, VT 05001. The listed phone number is (802) 356-1731.

What is Phil Prothero's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Phil Prothero enrolled in Medicare?

Yes. Phil Prothero 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 Phil Prothero accept?

Health plans from Providence Health Plan list Phil Prothero 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 Phil Prothero was last updated on May 21, 2018. 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.