Active NPI
Emily Lyn Jankowski, M.S., LCMHC
- Mental Health Counselor
- Derby, VT
National Provider Identifier
1184999831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068.0057644
- Practice address
- 181 Crawford Rd
Derby, VT 05829-6405 - Phone
- (802) 334-6744
- Fax
- (802) 334-7340
- NPI assigned
- Mar 14, 2012
- Last updated
- Sep 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068.0057644 | VT | Primary |
Addresses
Primary practice location
181 Crawford Rd
Derby, VT 05829-6405
Mailing address
907 Elm St
Derby Line, VT 05830-8881
Phone (802) 881-2639
Other practice location 1
907 Elm St
Derby Line, VT 05830-8881
Phone (802) 873-3162
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068.0057644 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1184999831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 ELM ST",
"city": "DERBY LINE",
"state": "VT",
"postal_code": "058308881",
"telephone_number": "802-881-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 CRAWFORD RD",
"city": "DERBY",
"state": "VT",
"postal_code": "058296405",
"telephone_number": "802-334-6744",
"fax_number": "802-334-7340"
}
],
"practiceLocations": [
{
"address_1": "907 Elm St",
"address_purpose": "LOCATION",
"city": "Derby Line",
"state": "VT",
"postal_code": "058308881",
"country_code": "US",
"telephone_number": "802-873-3162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANKOWSKI",
"first_name": "EMILY",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "M.S., LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-14",
"last_updated": "2026-09-10",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068.0057644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derby, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.