Individual provider Active NPI

Tammy Lynn Leombruno, M.A., LCMHC

  • Mental Health Counselor
  • Williston, VT
National Provider Identifier
1164554176
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
25 Wentworth Dr
Williston, VT 05495-9733
Phone
(802) 878-4990
Fax
(802) 878-1477
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 VT Primary

Addresses

Primary practice location

25 Wentworth Dr
Williston, VT 05495-9733

Mailing address

18 Hawk RDG
Underhill, VT 05489-9203
Phone (802) 878-4990

Other identifiers 1

IdentifierTypeStateIssuer
1007565MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
068000287VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New England Counseling and Trauma Associate Mental Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164554176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HAWK RDG",
            "city": "UNDERHILL",
            "state": "VT",
            "postal_code": "054899203",
            "telephone_number": "802-878-4990",
            "fax_number": "802-878-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WENTWORTH DR",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054959733",
            "telephone_number": "802-878-4990",
            "fax_number": "802-878-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOMBRUNO",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "credential": "M.A., LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007565",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

Verify at the official NPI Registry.