Individual provider Active NPI

Amber J Leavitt, LCMHC

  • Mental Health Counselor
  • White River Junction, VT
National Provider Identifier
1124311493
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0134180 Issued in VT
Practice address
226 Holiday Dr Ste 21
White River Junction, VT 05001
Phone
(802) 788-4099
NPI assigned
May 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0134180 VT Primary

Addresses

Primary practice location

226 Holiday Dr Ste 21
White River Junction, VT 05001

Mailing address

226 Holiday Dr Ste 21
White River Junction, VT 05001-2024

Other practice location 1

5126 Rt. 14
Seven Stars Center
Sharon, VT 05065-0112
Phone (847) 917-0339

Other names 1

  • Ms. Amber J Finch Former name

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

LicenseStateTypeSpecialty
068.0134180VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1124311493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 HOLIDAY DR STE 21",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050012024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 HOLIDAY DR STE 21",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "05001",
            "telephone_number": "802-788-4099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5126 Rt. 14",
            "address_2": "Seven Stars Center",
            "address_purpose": "LOCATION",
            "city": "Sharon",
            "state": "VT",
            "postal_code": "050650112",
            "country_code": "US",
            "telephone_number": "847-917-0339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "AMBER",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "FINCH",
            "middle_name": "J",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White River Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.