Bonnie Chase, LCMHC

Key facts

NPI

1225722366

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

0680084693 (VT)

Practice address

Anna Marsh Lane
Brattleboro, VT 05302

Phone

(802) 258-4324

Fax

(802) 258-4305

NPI assigned

Jun 2, 2023

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 2, 2023.

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1225722366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WOODLAND DR",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562138",
            "telephone_number": "802-289-4730",
            "fax_number": "802-258-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANNA MARSH LANE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "05302",
            "telephone_number": "802-258-4324",
            "fax_number": "802-258-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "BONNIE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680084693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Brattleboro, VT · Mental Health Counselor in Vermont