Distancetherapy.Com

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0102645 Issued in VT

Legal business name

DISTANCETHERAPY.COM

Practice address

130 Mansfield Ave Apt 201
Burlington, VT 05401-3396

Phone

(802) 448-3954

NPI assigned

Feb 16, 2018

Last updated

Feb 16, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lynn Ruth Martin, LCMHCNPI 1205335130

Title

Mental Health Counselor

Phone

(802) 448-3954

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lynn Ruth Martin, LCMHC

  • Mental Health Counselor
  • Burlington, VT
  • NPI 1205335130
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1013417914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MANSFIELD AVE APT 201",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013396",
            "telephone_number": "802-448-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MANSFIELD AVE APT 201",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013396",
            "telephone_number": "802-448-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTANCETHERAPY.COM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "802-448-3954",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0102645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Dimaria, LICSW
• Kaylee G Dimock
• Amy Dinitz
• Anthony M. Dinizio, MD
• Marie Discenza, DO, MS
• Distancetherapy.Com
• Anne Elizabeth Dixon, MD
• Gillian Dixon, MS, RD, CD
• Olivia DO, DPT
• Jessica Dobler

• Mental Health Counselor in Burlington, VT
• Providers in Burlington, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.