CMS-1500 Box 24J / 33a • NPI
1972654978
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
103TA0400X (CMS 62)
Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder)
Box 32 Service Location & ZIP+4
1011 N MAIN ST, SUITE 30, WHITE RIVER JUNCTION, VT, 05001-6200
✓ 9-Digit EDI 837 ZIP+4 (05001-6200)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1972654978 (NORI H BOKUM, M.A.) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1972654978 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | NORI H BOKUM, M.A. |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder) NUCC Code: 103TA0400X (Psychologist, Addiction (Substance Use Disorder)) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1011 N MAIN ST, SUITE 30, WHITE RIVER JUNCTION, VT, 05001-6200 |
| Practice Telephone / Fax | Tel: (802) 295-7500 |
| Administrative Mailing Address | PO BOX 108, NORWICH, VT, 05055-0108 |
| Enumeration & Last Sync | Enumerated: 2007-01-16 | CMS Record Updated: 2025-09-11 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (103TA0400X)
What Does Taxonomy Code 103TA0400X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TA0400X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (NORI H BOKUM, M.A.)
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 |
|---|---|
103TA0400X — Psychologist, Addiction (Substance Use Disorder)Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder) | State: VT | License: 634 | Primary: Secondary |
103TA0700X — Psychologist, Adult Development & AgingPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Adult Development & Aging | State: VT | License: 634 | Primary: Secondary |
103TC2200X — Psychologist, Clinical Child & AdolescentPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent | State: VT | License: 634 | Primary: Secondary |
103T00000X — PsychologistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist | State: VT | License: 634 | Primary: Secondary |
103TP2701X — Psychologist, Group PsychotherapyPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Group Psychotherapy | State: VT | License: 634 | Primary: Secondary |
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