Active NPI
Catherine Elizabeth Johnson, THERAPIST
- Counselor
- Rutland, VT
National Provider Identifier
1073206199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 097.0135789
- Practice address
- 71 Allen St Ste 202
Rutland, VT 05701-4570 - Phone
- (802) 446-3577
- NPI assigned
- Jun 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 097.0135789 | VT | Primary |
Addresses
Primary practice location
71 Allen St Ste 202
Rutland, VT 05701-4570
Mailing address
665 VT 10
Chester, VT 05143-9656
Phone (425) 890-5958
Other practice location 1
167 N Main St
Wallingford, VT 05773-9800
Phone (802) 446-3577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097.0135789 | VT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Leaf Clinic PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Wallingford, VT
- NPI 1851715635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1073206199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 VT 10",
"city": "CHESTER",
"state": "VT",
"postal_code": "051439656",
"telephone_number": "425-890-5958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 ALLEN ST STE 202",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014570",
"telephone_number": "802-446-3577"
}
],
"practiceLocations": [
{
"address_1": "167 N Main St",
"address_purpose": "LOCATION",
"city": "Wallingford",
"state": "VT",
"postal_code": "057739800",
"country_code": "US",
"telephone_number": "802-446-3577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "CATHERINE",
"middle_name": "ELIZABETH",
"credential": "THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-02",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VT",
"license": "097.0135789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.