Individual provider Active NPI

Angela Ferenc, LCMHC

  • Mental Health Counselor
  • Williston, VT
National Provider Identifier
1194887448
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068-0000691 Issued in VT
Practice address
25 Wentworth Dr
Williston, VT 05495-9733
Phone
(802) 878-4990
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 068-0000691 VT Primary

Addresses

Primary practice location

25 Wentworth Dr
Williston, VT 05495-9733

Mailing address

25 Wentworth Dr
Williston, VT 05495-9733
Phone (802) 878-4990

Other identifiers 1

IdentifierTypeStateIssuer
1013126MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 14, 2024 through Feb 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
068-0000691VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New England Counseling and Trauma Associate Mental Health Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194887448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WENTWORTH DR",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054959733",
            "telephone_number": "802-878-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WENTWORTH DR",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054959733",
            "telephone_number": "802-878-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERENC",
        "first_name": "ANGELA",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013126",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

Verify at the official NPI Registry.