CMS-1500 Box 24J / 33a • NPI
1639221369
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
101Y00000X
Licensed & Credentialed Counselor
Box 32 Service Location & ZIP+4
297 SUMMER ST, ST JOHNSBURY, VT, 05819
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1639221369 (MARY BISSONWARD, LADC, LCMHC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
No
Power Mobility
No
Hospice Referring
No
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1639221369 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MARY BISSONWARD, LADC, LCMHC |
| Plain-English Specialty | Licensed & Credentialed Counselor NUCC Code: 101Y00000X (Counselor) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 297 SUMMER ST, ST JOHNSBURY, VT, 05819 |
| Practice Telephone / Fax | Tel: (802) 748-1682 | Fax: (802) 748-0211 |
| Administrative Mailing Address | 144 SOUTH MAIN ST, HARDWICK, VT, 05843 |
| Enumeration & Last Sync | Enumerated: 2007-01-16 | CMS Record Updated: 2007-07-08 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (101Y00000X)
What Does Taxonomy Code 101Y00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101Y00000X translates to:
"Licensed & Credentialed Counselor"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MARY BISSONWARD, LADC, LCMHC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101Y00000X — CounselorPlain English: Licensed & Credentialed Counselor | State: VT | License: 068-0000391 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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