Individual provider Active NPI

Jeffrey M. Scannell, MA, LMFT, ASAC

  • Marriage & Family Therapist
  • Montpelier, VT
National Provider Identifier
1194039602
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
100.0045570 Issued in VT
Practice address
3 Pitkin CT
Montpelier, VT 05602-4509
Phone
(802) 279-9407
Fax
(802) 229-2508
NPI assigned
Jul 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ASAC VT
Marriage & Family Therapist 106H00000X 100.0045570 VT Primary

Addresses

Primary practice location

3 Pitkin CT
Montpelier, VT 05602-4509

Mailing address

70 Liberty St
Montpelier, VT 05602-2421
Phone (802) 279-9407

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 Arts

State licenses

LicenseStateTypeSpecialty
ASACVTMDAddiction (Substance Use Disorder) Counselor
100.0045570VTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1194039602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LIBERTY ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022421",
            "telephone_number": "802-279-9407",
            "fax_number": "802-229-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PITKIN CT",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056024509",
            "telephone_number": "802-279-9407",
            "fax_number": "802-229-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANNELL",
        "first_name": "JEFFREY",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "MA, LMFT, ASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "ASAC",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VT",
            "license": "100.0045570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.