Hayden R Elmendorf, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0134761 Issued in VT

Practice address

34 Barre St
Montpelier, VT 05602-3510

Phone

(802) 828-3983

Fax

(802) 223-0842

NPI assigned

Aug 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1174251342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056010647",
            "telephone_number": "802-828-3983",
            "fax_number": "802-223-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BARRE ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023510",
            "telephone_number": "802-828-3983",
            "fax_number": "802-223-0842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "286 Hospital Loop",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "VT",
            "postal_code": "056029523",
            "country_code": "US",
            "telephone_number": "802-229-0591",
            "fax_number": "802-223-3667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMENDORF",
        "first_name": "HAYDEN",
        "middle_name": "R",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin J. Egan, AS
• Diane Cecile Ehly, LCMHC
• Jeannette Ehrich-Meyer, DC
• Irvin Eisenberg, OT
• Casey Lynn Ellison, ND
• Kali Erskine, PH.D.
• Essential Physical Therapy & Pilates, LLC
• Charles Evans, D.C.
• Samuel Evenson, M.D.
• Evernorth Direct Health LLC

• Mental Health Counselor in Montpelier, VT
• Providers in Montpelier, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.