David Gauthier, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0680000037 Issued in VT

Practice address

432 Main St
Winooski, VT 05404-1338

Phone

(802) 655-3311

NPI assigned

Nov 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104997279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 MAIN ST",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041338",
            "telephone_number": "802-655-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 MAIN ST",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041338",
            "telephone_number": "802-655-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680000037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006777",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9993",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Robert Laz Flynn, P.T.,D.P.T.
• Deirdre M. Folsom, PT WCS
• Cheyenne Kimberley Fowler, APRN
• Elizabeth Rose Gagne, PHARMD, RPH
• Jason Robert Gamelin
• Ethan W Gilson
• Ann Goering, M.D.
• Howard B Goldberg, PH.D.
• Erin Graham
• Tara Graham, LICSW

• Mental Health Counselor in Winooski, VT
• Providers in Winooski, 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 Jul 8, 2007; 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.