Xander Lodge, Ma, PLC
NPI 1255053930 · Psychologist · Williston, VT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Xander Lodge, Ma, PLC is a Psychologist organization in Williston, VT (NPI 1255053930).
Provider details
- NPI number
- 1255053930
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Alexander Lodge, Owner(802) 503-2929
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lodge Psychotherapy
- Doing business as
- Lodge Psychotherapy
Registry dates
- Enumerated
- 2022-09-19
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Frequently asked questions
- What is Xander Lodge, Ma, PLC's NPI number?
- Xander Lodge, Ma, PLC's National Provider Identifier (NPI) is 1255053930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Xander Lodge, Ma, PLC?
- Xander Lodge, Ma, PLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Xander Lodge, Ma, PLC located?
- Xander Lodge, Ma, PLC's practice location on file with NPPES is 75 Talcott Rd Ste 30, Williston, VT 05495-8122.
- What is Xander Lodge, Ma, PLC's phone number?
- The practice phone number listed in the NPPES registry for Xander Lodge, Ma, PLC is (802) 503-2929.
- Does Xander Lodge, Ma, PLC accept Medicare?
- Xander Lodge, Ma, PLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Xander Lodge, Ma, PLC?
- The authorized official listed on Xander Lodge, Ma, PLC's NPPES record is Alexander Lodge, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Xander Lodge, Ma, PLC's NPI active?
- Yes — Xander Lodge, Ma, PLC's NPI (1255053930) is active in the NPPES registry as of the last update on 2024-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.