Individual provider Active NPI

Emily Lyn Jankowski, M.S., LCMHC

  • Mental Health Counselor
  • Derby, VT
National Provider Identifier
1184999831
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0057644 Issued in VT
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 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 068.0057644 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

LicenseStateTypeSpecialty
068.0057644VTMDMental 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.

Verify at the official NPI Registry.