Individual provider Active NPI

Cassandra Badeau, MA

  • Addiction (Substance Use Disorder) Counselor
  • Burlington, VT
National Provider Identifier
1215527601
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
151.0134107 Issued in VT
Practice address
37 Elmwood Ave
Burlington, VT 05401-4347
Phone
(802) 448-1086
Fax
(802) 735-9623
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 151.0134107 VT Primary

Addresses

Primary practice location

37 Elmwood Ave
Burlington, VT 05401-4347

Mailing address

37 Elmwood Ave
Burlington, VT 05401-4347
Phone (802) 448-1086

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
151.0134107VTMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1215527601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 ELMWOOD AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014347",
            "telephone_number": "802-448-1086",
            "fax_number": "802-735-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 ELMWOOD AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014347",
            "telephone_number": "802-448-1086",
            "fax_number": "802-735-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADEAU",
        "first_name": "CASSANDRA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151.0134107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.