MR. BARRY BRUCE RUFENACHT LCSW LADC NPI 1619056579

NPI Information

NPI: 1619056579
Provider Name: MR. BARRY BRUCE RUFENACHT, LCSW, LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
641 COMSTOCK RD
BERLIN, VT
ZIP 05602
Phone: (802) 223-8952
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MR. Barry Bruce Rufenacht, LCSW, LADC is an addiction (substance use disorder) counselor in Berlin, VT with 43 years of experience. MR. Barry Bruce Rufenacht, LCSW, LADC NPI is 1619056579. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

641 COMSTOCK RD
BERLIN, VT
ZIP 05602-610
Phone: (802) 223-8952
Fax: (802) 223-2665

The NPI 1619056579 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000218	VERMONT	Yes
2	1041C0700X	Social Worker	Clinical	000391	VERMONT	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00028150	OTHER	VERMONT	BCBS
2	1055408	OTHER	VERMONT	CIGNA
3	1006712	MEDICAID	VERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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