Emily Kallock

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

089.0001004 Issued in VT

Practice address

89 Main St
Middlebury, VT 05753-1483

Phone

(802) 388-6751

Fax

(802) 388-3108

NPI assigned

Dec 29, 2023

Last updated

Dec 29, 2023By 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

Other names 1

• Emily Mack Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1083483234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531483",
            "telephone_number": "802-388-6751",
            "fax_number": "802-388-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531483",
            "telephone_number": "802-388-6751",
            "fax_number": "802-388-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLOCK",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "089.0001004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MACK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Jordan, MD, LCMHC
• Brian Joslin, PA-C
• Julia Steen, Ma, PLC
• Michelle Kaczynski
• Doreen Straw Kadric, M.S., CCC-SLP
• Elizabeth Allen Keathley, PH.D.
• Jeffrey Colin Keimer, PHARMD
• Kim Perkins Kelley, PT, MED.
• Winfield Kelley, DC
• Leila Kiernan, DPT

• Mental Health Counselor in Middlebury, VT
• Providers in Middlebury, 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 Dec 29, 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.

Verify at the official NPI Registry.