NPIMap

Organization Active NPI

Wind River Therapy, LLC

  • Clinical Social Worker
  • South Burlington, VT
National Provider Identifier
1104539204
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WIND RIVER THERAPY, LLC
Practice address
54 W Twin Oaks Ter Ste 12
South Burlington, VT 05403-7141
Phone
(802) 391-9073
NPI assigned
Jan 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Jennifer Parisi, LICSWNPI 1386360840
Title
Owner
Phone
(802) 391-9073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

54 W Twin Oaks Ter Ste 12
South Burlington, VT 05403-7141

Mailing address

PO Box 9212
South Burlington, VT 05407-9212
Phone (802) 391-9073

National Provider Directory

National Provider Directory

Locations

54 W Twin Oaks Ter
Ste 127
South Burlington, VT 05403
Phone (802) 391-9073

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1104539204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9212",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054079212",
            "telephone_number": "802-391-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W TWIN OAKS TER STE 12",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037141",
            "telephone_number": "802-391-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND RIVER THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "PARISI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-391-9073",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.