KRISTEN BREAULT-BOLIO MS, LCMHC, LADC
NPI 1962870758
Counselor - Mental Health in Burlington, VT

NPI Status: Active since September 10, 2015

Contact Information

31 ELMWOOD AVE
BURLINGTON, VT
ZIP 05401
Phone: (802) 864-7423
Fax: (802) 660-0576

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Accepts Insurance
  • PECOS Enrolled
  • Opted-Out Medicare

About KRISTEN BREAULT-BOLIO

This page provides the complete NPI Profile along with additional information for Kristen Breault-bolio, a provider established in Burlington, Vermont with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1962870758 assigned on September 2015. The practitioner's primary taxonomy code is 101YM0800X with license number 068.0111093 (VT). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1962870758
Provider Name
KRISTEN BREAULT-BOLIO MS, LCMHC, LADC
Gender
Female
Entity Type
Individual
Location Address
31 ELMWOOD AVE BURLINGTON, VT 05401
Location Phone
(802) 864-7423
Location Fax
(802) 660-0576
Mailing Address
183 TALCOTT RD STE 206 WILLISTON, VT 05495
Mailing Phone
(802) 944-4718
Is Sole Proprietor?
No
Enumeration Date
09-10-2015
Last Update Date
07-22-2023
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A mental health counselor like Kristen Breault-bolio provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kristen Breault-bolio opted out of Medicare effective on 02-29-2024 until 03-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
068.0111093
License State
VT

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

151.0127541 (VT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kristen Breault-bolio is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 02-29-2024

  • Opt-Out End Date: 03-01-2026

  • Eligible to Order and Refer? No

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for KRISTEN BREAULT-BOLIO MS, LCMHC, LADC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962870758, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 6 + 7 + 0 + 7 + 1 + 0 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1962870758.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
31 ELMWOOD AVE
BURLINGTON, VT 05401
Counselor (Addiction (Substance Use Disorder))
31 ELMWOOD AVE
BURLINGTON, VT 05401
Counselor (Addiction (Substance Use Disorder))
31 ELMWOOD AVE
BURLINGTON, VT 05401
Counselor (Addiction (Substance Use Disorder))
31 ELMWOOD AVE
BURLINGTON, VT 05401
Counselor
31 ELMWOOD AVE
BURLINGTON, VT 05401
Counselor (Mental Health)
31 ELMWOOD AVE
BURLINGTON, VT 05401
Counselor (Mental Health)
31 ELMWOOD AVE
BURLINGTON, VT 05401
Counselor (Mental Health)
31 ELMWOOD AVE
BURLINGTON, VT 05401
Counselor (Mental Health)
31 ELMWOOD AVE
BURLINGTON, VT 05401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962870758, enumerated as an "individual" on September 10, 2015.

The provider is located at 31 ELMWOOD AVE BURLINGTON, VT 05401 and the phone number is (802) 864-7423.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.