Mary M Fondriest, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0134304 Issued in VT

Practice address

1225 VT-15
Wolcott, VT 05680

Phone

(802) 323-1522

Fax

(802) 323-1522

NPI assigned

Mar 15, 2021

Last updated

Jul 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mary M Fondriest LLC

  • Mental Health Counselor
  • Wolcott, VT
  • NPI 1659117927
  Medicare reassignment NPD

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1023693744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "HARDWICK",
            "state": "VT",
            "postal_code": "058430301",
            "telephone_number": "802-323-1522",
            "fax_number": "802-323-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 VT-15",
            "city": "WOLCOTT",
            "state": "VT",
            "postal_code": "05680",
            "telephone_number": "802-323-1522",
            "fax_number": "802-323-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDRIEST",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2025-07-01",
        "certification_date": "2025-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 15 East Collective LLC
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• Ann Marie Licari Dryden, MSN, APRN
• Breanna Hart, MSW, LICSW
• Maramonie King, LCMHC, PSYD, MS
• Danielle Leriche-Forkey
• Mary M Fondriest LLC
• Mya Potts, M.ED

• Mental Health Counselor in Wolcott, VT
• Providers in Wolcott, 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 Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.