Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Kingdom Trauma Intensives

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1629792114

Northeast Kingdom Trauma Intensives is a Mental Health Clinic/Center (Including Community Mental Health Center) in St Johnsbury, Vermont. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3

Practice location Address checks out

293 Pearl St Ste 101
St Johnsbury, VT 05819-5641
Phone: (802) 327-5902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1629792114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Keith — Owner/Psychotherapist · (802) 327-5902
NPI enumeratedSeptember 28, 2022
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022
Mailing address751 Chesterfield Holw, Lyndonville, VT 05851-8530

Other providers in St Johnsbury