Active NPI
Walter Brownsword III, MA, LADC, CS
- Counseling Psychologist
- Richmond, VT
National Provider Identifier
1124476916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 694
- Practice address
- 112 Jericho Road
Richmond, VT 05477-0361 - Phone
- (802) 922-7570
- NPI assigned
- Jun 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000030 | VT | |
| Counseling Psychologist | 103TC1900X | 694 | VT | Primary |
Addresses
Primary practice location
112 Jericho Road
Richmond, VT 05477-0361
Mailing address
112 Jericho Road
PO Box 361 (If Usps)
Richmond, VT 05477-0361
Phone (802) 922-7570
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000030 | VT | MD | Addiction (Substance Use Disorder) Counselor |
| 694 | VT | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1124476916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 JERICHO ROAD",
"address_2": "PO BOX 361 (IF USPS)",
"city": "RICHMOND",
"state": "VT",
"postal_code": "054770361",
"telephone_number": "802-922-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 JERICHO ROAD",
"city": "RICHMOND",
"state": "VT",
"postal_code": "054770361",
"telephone_number": "802-922-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWNSWORD III",
"first_name": "WALTER",
"credential": "MA, LADC, CS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-02",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VT",
"license": "000030",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "VT",
"license": "694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.