Counseling and Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COUNSELING AND WELLNESS

Doing business as

802 Well-Being LLC

Practice address

2882 Perley Rd
Enosburg Falls, VT 05450-5157

Phone

(802) 825-4543

NPI assigned

Oct 30, 2023

Last updated

Oct 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ethan William Gislon, MS, LCMHC, LADC

Title

Counselor

Phone

(802) 825-4543

Specialties & licenses 2

Addresses

Other names 1

• 802 Well-Being LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ethan W Gilson

  • Addiction (Substance Use Disorder) Counselor
  • Winooski, VT
  • NPI 1104374826
  NPD

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1093587370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2882 PERLEY RD",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "054505157",
            "telephone_number": "802-825-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2882 PERLEY RD",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "054505157",
            "telephone_number": "802-825-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "GISLON",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "802-825-4543",
        "authorized_official_credential": "MS, LCMHC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "802 Well-Being LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley E Chamberlin
• Diana Chan, PHARMD
• Cold Hollow Family Practice
• Cold Hollow Family Practice, PC
• Samantha O'Sullivan Cooney
• Ronald Scott Debruin, D.D.S.
• Enosburg Family Dental
• Pierre Emile Etienne, MD
• Franklin Northeast Supervisory Union
• Andrew Gagne, PHARMD

• Mental Health Counselor in Enosburg Falls, VT
• Providers in Enosburg Falls, 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 Oct 30, 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.