Champlain Center for Play Therapy and Family Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CHAMPLAIN CENTER FOR PLAY THERAPY AND FAMILY COUNSELING

Practice address

300 Cornerstone Dr Ste 320
Williston, VT 05495-4012

Phone

(802) 222-6247

NPI assigned

Aug 22, 2024

Last updated

Aug 22, 2024By 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

Carolynn Nagao Marcotte, LICSW

Title

Co-Owner

Phone

(802) 222-6247

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Sophie Kim

  • Mental Health Counselor
  • Williston, VT
  • NPI 1083542153
  NPD
• Kaitlyn Wessels, LICSW

  • Clinical Social Worker
  • Burlington, VT
  • NPI 1831852474
  NPD
• Carolynn Howell

  • Mental Health Counselor
  • Brighton, MA
  • NPI 1245580299
  NPD

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1144053430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PINE HAVEN SHORES RD STE 100A",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827703",
            "telephone_number": "802-222-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CORNERSTONE DR STE 320",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054954012",
            "telephone_number": "802-222-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPLAIN CENTER FOR PLAY THERAPY AND FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGAO MARCOTTE",
        "authorized_official_first_name": "CAROLYNN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "802-222-6247",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Rene Cary, DPT
• Catalyst Physiotherapy LLC
• Jennifer Cermenaro, PT, DPT
• Gavin B Chadwell, LCMHC
• Sarah Chadwell, LCMHC
• Champlain Valley Brace and Limb, L.L.C. (ActivStyle)
• Champlain Valley Speech Therapy
• Taylor Christine Champlin, DPT
• Maghan Charland, ATC
• Savannah Cheeseman, PHARMD, RPH

• Mental Health Clinic/Center (Including Community Mental Health Center) in Williston, VT
• Providers in Williston, VT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.