Active NPI
Mary Ruth Maglione, MACP,LADC
- Addiction (Substance Use Disorder) Counselor
- Rutland, VT
National Provider Identifier
1215007646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 000155
- Practice address
- 135 Granger St
Rutland, VT 05701-4405 - Phone
- (802) 747-3588
- Fax
- (802) 775-7196
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000155 | VT | Primary |
Addresses
Primary practice location
135 Granger St
Rutland, VT 05701-4405
Mailing address
339 Knipes Dr
Clarendon, VT 05759
Phone (802) 775-1601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00049582 | Other | VT | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000155 | VT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215007646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 KNIPES DR",
"city": "CLARENDON",
"state": "VT",
"postal_code": "05759",
"telephone_number": "802-775-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 GRANGER ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014405",
"telephone_number": "802-747-3588",
"fax_number": "802-775-7196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGLIONE",
"first_name": "MARY",
"middle_name": "RUTH",
"credential": "MACP,LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VT",
"license": "000155",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00049582",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.