Individual provider · Type 1 NPI

Alicia Kim Banach, CRC, PRSS

Peer Specialist · Burlington, VT

NPI number 1497667372 Active

Practice location

179 S Winooski Ave
Burlington, VT 05401-4669

Call (802) 861-3150 Map

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X194.0000083 (VT)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1497667372

Alicia Kim Banach, CRC, PRSS's National Provider Identifier is 1497667372, issued on Sep 17, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Burlington, VT. The record was last updated on Sep 17, 2026.