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Deactivated NPI 1912248691 Deactivated / Inactive NPI Male Practitioner

Robert Joseph Stack , LCMHC, LADC

Counselor - Addiction (Substance Use Disorder) • Brattleboro, VT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Stack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 06, 2013
NPI Deactivation Date January 31, 2022
Total Practice Duration ~9 Years of Practice (2013 – 2022)

Professional Overview & Biography Verified Profile Summary

Robert Stack, LCMHC, LADC was a registered Counselor - Addiction (Substance Use Disorder) practicing in Brattleboro, VT. Throughout an active medical career spanning 9 years, Robert Stack provided care at the practice location at 1 LINDEN STREET until profile deactivation on 2022-01-31.

Practice Location & Contact Primary Location

Practice Address

1 Linden Street

Brattleboro, VT 05301

Telephone 8022577785
Associated Practice Facility / Clinic
🏢 Brattleboro Retreat Facility NPI 1730185232

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Addiction (Substance Use Disorder) in Brattleboro, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
37 Specialists

Practicing in Brattleboro, VT (323 Statewide)

Telehealth Adoption Rate
2.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Addiction (Substance Use Disorder) Primary Specialty

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kurt White

Social Worker - Clinical

NPI 1023111473
Caroline Henderson , MSW

Social Worker - Clinical

NPI 1023249273

Master of Social Work

Peter Albert

Social Worker - Clinical

NPI 1124123468
Ellen Clancy , MSW

Social Worker - Clinical

NPI 1124250675

Master of Social Work

John Field

Marriage & Family Therapist

NPI 1144435066
Carol Stack , APRN

Clinical Nurse Specialist - Psychiatric/Mental Health

NPI 1164526703

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 31, 2022

Record deactivated on January 31, 2022

NPI Profile Active March 06, 2013

NPI status registered as active in NPPES database

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Updated Practice Location March 06, 2013

Registered at 1 LINDEN STREET, BRATTLEBORO, VT 05301 (Tel: 8022577785)

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Updated Business Mailing Address March 06, 2013

Registered at 710 SWEET POND RD, GUILFORD, VT 05301 (Tel: 8022545185)

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Provider Name / Credentials Updated March 06, 2013

Recorded as ROBERT STACK, LCMHC, LADC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2013

Counselor

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Initial NPI Registration & Enumeration March 06, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912248691
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2013
Last Update: March 06, 2013
Deactivation Date: January 31, 2022

Mailing Address

710 Sweet Pond Rd

Guilford, VT 05301

Phone: 8022545185

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.