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

Alexander Lodge, MA

Individual provider Mental Health Counselor · NPI 1720700404

Alexander Lodge, MA is a Mental Health Counselor in Williston, Vermont. Qualified in 2019, 7 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Vermont.

Years since qualifying
7
Licensed in
VT
In the registry since
2022
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

75 Talcott Rd Ste 30
Williston, VT 05495-8122
Phone: (802) 503-2929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 047.0133699 (VT)
Mental Health Counselor Taxonomy 101YM0800X · Licence 047.0133699 (VT)

Record details

NPI number1720700404
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedSeptember 19, 2022
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024
Mailing address629 Metcalf Dr, Williston, VT 05495-8802

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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