Mary Kathryn Stattel, MS, BA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

097.0001240 Issued in VT

Practice address

110 Cherry St
Suite 1-3B
Burlington, VT 05401-3938

Phone

(802) 999-8105

NPI assigned

Oct 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kate Stattel Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts, Master of Science, Master of Science - Law

State licenses

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1245789254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE 110-1-3B CHERRY STREET",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-999-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHERRY ST",
            "address_2": "SUITE 1-3B",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013938",
            "telephone_number": "802-999-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATTEL",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "credential": "MS, BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "097.0001240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "STATTEL",
            "credential": "MS, BA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrew Carl Stanley, MD
• Renee Doney Stapleton, MD, PHD
• Amy Starble
• Starr Farm Partnership
• State of Vermont
• Pedro Vinicius Staziaki, M.D.
• Emily L. a. Stebbins, MD
• Madeleine Steele, MS
• Heather Doyle Stein, M.D.
• Willow Stein, MSW

• Mental Health Counselor in Burlington, VT
• Providers in Burlington, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.