Grace Street Recovery Services-Vermont

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GRACE STREET RECOVERY SERVICES-VERMONT

Practice address

184 King St
Burlington, VT 05401-4534

Phone

(802) 503-5450

NPI assigned

Apr 12, 2017

Organization subpart

No

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

Authorized official

Name

Margaret Terrien, NP

Title

Nurse Practitioner

Phone

(802) 503-5450

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Casarico

  • Addiction (Substance Use Disorder) Counselor
  • Burlington, VT
  • NPI 1104351733
  NPD (past)

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1043744568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 SPINNAKER LN",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827783",
            "telephone_number": "802-503-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 KING ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014534",
            "telephone_number": "802-503-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE STREET RECOVERY SERVICES-VERMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "TERRIEN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "802-503-5450",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Goulette
• Kerry A Goulette, P.A.
• Deborah Beth Governale, PA-C
• Lacey Georgia Gowdy
• Lynn B. Goyette, MACP,MSED.
• Christopher James Grace, MD
• Sara J Grace, DPT
• Margaret Graham
• Kelly Gram, P.A.
• Robert E Gramling, MD

• Substance Abuse Rehabilitation Facility in Burlington, VT
• Providers in Burlington, VT by specialty
• Substance Abuse Rehabilitation Facility in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.