Quail Hollow Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0097508 Issued in VT

Legal business name

QUAIL HOLLOW COUNSELING LLC

Practice address

4 Merrill LN Unit 102
Milton, VT 05468-3322

Phone

(802) 559-0255

NPI assigned

Oct 10, 2016

Organization subpart

No

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

Authorized official

Name

Meghan LewellenNPI 1235536400

Title

Owner/Licsw

Phone

(802) 559-0255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 1

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

• Meghan Lewellen, LICSW

  • Clinical Social Worker
  • Milton, VT
  • NPI 1235536400
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1154871630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MERRILL LN UNIT 102",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054683322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MERRILL LN UNIT 102",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054683322",
            "telephone_number": "802-559-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAIL HOLLOW COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "LEWELLEN",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "OWNER/LICSW",
        "authorized_official_telephone_number": "802-559-0255"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0097508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy A Perkins, DPT
• Joanna Pierce
• Amanda Pomeroy, DPT
• Gordon Edward Powers III, M.D.
• Emily Michelle Pratico
• Joseph A Rampe, BS.PHARM
• Seth Jeremiah Rebeor, ATC
• Red Clover Counseling, LLC
• Monica C Romanko, M.D.
• Caleb Rudden

• Clinical Social Worker in Milton, VT
• Providers in Milton, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.