Active NPI
Tiffany Elizabeth Trombley, LCMHC, LMHC
- Mental Health Counselor
- Swanton, VT
National Provider Identifier
1205119682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068-0074342
- Practice address
- 663 Monument Rd
Swanton, VT 05488-1134 - Phone
- (802) 309-3544
- NPI assigned
- Sep 22, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12936 | MA | |
| Mental Health Counselor | 101YM0800X | 068-0074342 | VT | Primary |
Addresses
Primary practice location
663 Monument Rd
Swanton, VT 05488-1134
Mailing address
PO Box 491
St Albans Bay, VT 05481-0491
Phone (802) 395-1317
Other names 1
- Tiffany Elizabeth Turner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240208001287 | MA | Practitioner - Mental Health Counselor | 0143663997 | Reassigns benefits to 1 organization |
| I20240208001872 | VT | Practitioner - Mental Health Counselor | 0143663997 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068-0074342 | VT | MD | Mental Health Counselor |
| 12936 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Current | Accepting new patients |
Locations
90 Canal St
Ste 4
Boston, MA 02114
Phone (617) 517-4889
145 Pine Haven Shores Rd
Shelburne, VT 05482
Phone (802) 316-4135
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": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1205119682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 491",
"city": "ST ALBANS BAY",
"state": "VT",
"postal_code": "054810491",
"telephone_number": "802-395-1317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "663 MONUMENT RD",
"city": "SWANTON",
"state": "VT",
"postal_code": "054881134",
"telephone_number": "802-309-3544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROMBLEY",
"first_name": "TIFFANY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LCMHC, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "12936",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068-0074342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "TURNER",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Swanton, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.