Offie Wortham, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0970001181 Issued in VT

Practice address

136 N Main St
Suite 2
Barre, VT 05641-4170

Phone

(802) 454-1419

Fax

(802) 454-1419

NPI assigned

Feb 25, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1184893042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N MAIN ST",
            "address_2": "SUITE 2",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414170",
            "telephone_number": "802-454-1419",
            "fax_number": "802-454-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N MAIN ST",
            "address_2": "SUITE 2",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414170",
            "telephone_number": "802-454-1419",
            "fax_number": "802-454-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHAM",
        "first_name": "OFFIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0970001181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aline Winot
• Richard C. Wollensak, DDS
• Daniel Charles Woodcock, D.C.
• Mindy M. Woodworth, AS
• Workit Health Mi PLLC
• Linda Carol Wulff, APRN
• Judith Carol Yandow, MS CCC SLP
• Heidi M Yialiades, RPH
• Mark N Yorra, M.D.
• Michael Joseph Zahm, M.D.

• Mental Health Counselor in Barre, VT
• Providers in Barre, 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 Feb 25, 2008; 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.