Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Alicia Kim Banach, CRC, PRSS

Individual provider Peer Specialist · NPI 1497667372

Alicia Kim Banach, CRC, PRSS is a Peer Specialist in Burlington, Vermont. Works from 3 locations. Licensed in Vermont.

Licensed in
VT
In the registry since
2026

Practice location Address checks out

179 S Winooski Ave
Burlington, VT 05401-4669
Phone: (802) 861-3150
Show map & directions

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

Additional practice locations (2)

  • 855 Pine St Rm 111, Burlington, VT 05401-4924 — (802) 488-6000
  • 75 San Remo Dr, South Burlington, VT 05403-6385 — (802) 488-6450

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 194.0000083 (VT)

Record details

NPI number1497667372
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRC , PRSS
Sole proprietorNo
NPI enumeratedSeptember 17, 2026
Last updated in NPPESSeptember 17, 2026
Certification dateSeptember 17, 2026

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