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

Q: What is Kristen Breault-bolio's NPI number?

The NPI number for Kristen Breault-bolio is 1962870758. It was assigned to this individual provider in the NPPES registry on September 10, 2015.

Q: What is Kristen Breault-bolio's specialty?

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

Q: Is Kristen Breault-bolio enrolled in Medicare?

No. Kristen Breault-bolio has opted out of Medicare through March 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since September 10, 2015Opted out of Medicare · through Mar 1, 2028

31 ELMWOOD AVE, BURLINGTON, VT 05401(802) 864-7423(802) 660-0576 Get Directions Write a Review

NPPES record last updated: July 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kristen Breault-bolio Ms, Lcmhc, Ladc NPPES

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

KRISTEN BREAULT-BOLIO MS, LCMHC, LADC (NPI 1962870758) is an individual mental health provider in Burlington, Vermont, licensed in Vermont (068.0111093) and active in the NPI registry since September 2015. She has opted out of Medicare through March 1, 2028.

NPPES Registry Identity

NPI1962870758

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKRISTEN BREAULT-BOLIOCredential: MS, LCMHC, LADC

Location Address31 ELMWOOD AVEBurlington, VT 05401-4347

Mailing Address183 Talcott Rd Ste 206Williston, VT 05495-2075 · (802) 944-4718

Phone(802) 864-7423

Fax(802) 660-0576

Sole ProprietorNo

Enumeration DateSeptember 10, 2015

Last NPPES UpdateJuly 22, 2023

NPPES CertifiedJuly 22, 2023

✔ NPI 1962870758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in VT · 068.0111093

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 151.0127541 (VT)

31 ELMWOOD AVE, Burlington, VT 05401

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Kristen Breault-bolio Ms, Lcmhc, Ladc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 29, 2024 through March 1, 2028.

Opt-Out Effective DateFebruary 29, 2024

Opt-Out In Effect ThroughMarch 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 8

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

WILLIAM KRAMAN

Counselor (Addiction (Substance Use Disorder))