Individual provider Active NPI

Angel Roy, LCMHC

  • Mental Health Counselor
  • St Johnsbury, VT
National Provider Identifier
1225862766
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0136132 Issued in VT
Practice address
231 Concord Ave
St Johnsbury, VT 05819-1515
Phone
(802) 748-5364
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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 068.0136132 VT Primary

Addresses

Primary practice location

231 Concord Ave
St Johnsbury, VT 05819-1515

Mailing address

544 Anderson St
Barnet, VT 05821-9652
Phone (802) 249-1513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241003003670 VT Practitioner - Mental Health Counselor 9234660036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

231 Concord Ave
Suite 1
Saint Johnsbury, VT 05819-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068.0136132VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Angel Roy LLC Mental Health CurrentSince Sep 5, 2024 Accepting new patients
Little Brook Counseling PLLC PastSince May 28, 2023 Accepting new patients

Locations

231 Concord Ave
Ste 1
St Johnsbury, VT 05819
Phone (802) 249-1513

231 Concord Ave
St Johnsbury, VT 05819
Phone (802) 745-7581

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1225862766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 ANDERSON ST",
            "city": "BARNET",
            "state": "VT",
            "postal_code": "058219652",
            "telephone_number": "802-249-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CONCORD AVE",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058191515",
            "telephone_number": "802-748-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "ANGEL",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0136132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

Verify at the official NPI Registry.