Organization Active NPI

Counseling Service of Addison County, Inc

  • Community/Behavioral Health Agency
  • Middlebury, VT
National Provider Identifier
1215394333
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
089.0069978 Issued in VT
Legal business name
COUNSELING SERVICE OF ADDISON COUNTY, INC
Practice address
109 Catamount Park
Middlebury, VT 05753-4491
Phone
(802) 388-4021
Fax
(802) 388-1868
NPI assigned
Jan 20, 2016
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Emily Ann Vandeweert
Title
Billing Manager
Phone
(802) 388-6751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 089.0069978 VT Primary

Addresses

Primary practice location

109 Catamount Park
Middlebury, VT 05753-4491

Mailing address

89 Main St
Middlebury, VT 05753-1459
Phone (802) 388-6751

Other practice location 1

89 Main St
Middlebury, VT 05753-1459
Phone (802) 388-6751

National Provider Directory

National Provider Directory
Tax ID family
Counseling Service of Addison County Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1215394333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531459",
            "telephone_number": "802-388-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CATAMOUNT PARK",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057534491",
            "telephone_number": "802-388-4021",
            "fax_number": "802-388-1868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Main St",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "VT",
            "postal_code": "057531459",
            "country_code": "US",
            "telephone_number": "802-388-6751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELING SERVICE OF ADDISON COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "VANDEWEERT",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "802-388-6751"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VT",
            "license": "089.0069978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.