Individual provider Active NPI

Josha Anne Grant, MA

  • Mental Health Counselor
  • Jeffersonville, VT
National Provider Identifier
1205327855
Registry record updated Apr 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0132206 Issued in VT
Practice address
168 Main St
Jeffersonville, VT 05464-2100
Phone
(802) 730-2151
NPI assigned
May 18, 2018
Last updated
Apr 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2019

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 068.0132206 VT Primary

Addresses

Primary practice location

168 Main St
Jeffersonville, VT 05464-2100

Mailing address

1753 VT Route 109
Waterville, VT 05492-9694
Phone (802) 730-2151

Other practice location 1

12 Fairfield Hill Rd
Saint Albans, VT 05478-9634
Phone (802) 503-8715

Other identifiers 1

IdentifierTypeStateIssuer
1034086MedicaidVT

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
068.0132206VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555804800000",
    "number": "1205327855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 VT ROUTE 109",
            "city": "WATERVILLE",
            "state": "VT",
            "postal_code": "054929694",
            "telephone_number": "802-730-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 MAIN ST",
            "city": "JEFFERSONVILLE",
            "state": "VT",
            "postal_code": "054642100",
            "telephone_number": "802-730-2151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Fairfield Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "VT",
            "postal_code": "054789634",
            "country_code": "US",
            "telephone_number": "802-503-8715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JOSHA",
        "middle_name": "ANNE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2019-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0132206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034086",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2019; 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.