Individual provider Active NPI

Evan Hayden Crandell

  • Mental Health Counselor
  • South Burlington, VT
National Provider Identifier
1184591695
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0137127 Issued in VT
Practice address
1233 Shelburne Rd Ste D2
Pierson House D2
South Burlington, VT 05403-7753
Phone
(802) 859-1577
NPI assigned
Oct 20, 2025
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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 068.0137127 VT Primary

Addresses

Primary practice location

1233 Shelburne Rd Ste D2
Pierson House D2
South Burlington, VT 05403-7753

Mailing address

1233 Shelburne Rd Ste D2
Pierson House D2
South Burlington, VT 05403-7753
Phone (802) 859-1577

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260514002008 VT Practitioner - Mental Health Counselor 6305315862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1233 Shelburne Rd
South Burlington, VT 05403-7700
Phone (802) 859-1577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068.0137127VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Adams Center for Mind & Body LLC Mental Health CurrentSince Nov 7, 2025 Accepting new patients
The Adams Center for Mind and Body, LLC PastSince Nov 7, 2025 Accepting new patients

Locations

1233 Shelburne Rd
Ste D2
South Burlington, VT 05403
Phone (802) 859-1577

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1184591695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 SHELBURNE RD STE D2",
            "address_2": "PIERSON HOUSE D2",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037753",
            "telephone_number": "802-859-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SHELBURNE RD STE D2",
            "address_2": "PIERSON HOUSE D2",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037753",
            "telephone_number": "802-859-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDELL",
        "first_name": "EVAN",
        "middle_name": "HAYDEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-20",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0137127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.