Amy Yvonne Poland, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0075195 Issued in VT

Practice address

364 Dorset Street, Suite 204
South Burlington, VT 05403

Phone

(802) 658-9440

Fax

(802) 658-9443

NPI assigned

Mar 28, 2012

Last updated

Mar 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Vermont Center for Integrative Therapy, LLC

  • Mental Health Counselor
  • South Burlington, VT
  • NPI 1497078695
  NPD (past)

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1053687608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 DORSET STREET, SUITE 204",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-658-9440",
            "fax_number": "802-658-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 DORSET STREET, SUITE 204",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-658-9440",
            "fax_number": "802-658-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAND",
        "first_name": "AMY",
        "middle_name": "YVONNE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0075195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Pincombe, O.D.
• Pinnacle Chiropractic, PLLC
• Mark Pitcher, M.D.
• Gina Plasse
• Leeann Podruch, DDS
• Chelsea Poland, LCMHC
• Susan Emily Polgreen, MS, RD, CD
• Alice Kristina Pollvogt, MA
• Lizabeth Jane Pontzer, M.D.
• Megan Poor, LICSW

• Mental Health Counselor in South Burlington, VT
• Providers in South 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 Mar 28, 2012; 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.