Individual provider Active NPI

Amy Faith Ludwin, M.A., L.C.M.H.C.

  • Mental Health Counselor
  • Burlington, VT
National Provider Identifier
1255385084
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068-0000101 Issued in VT
Practice address
16 Orchard Ter
Carriage House Office
Burlington, VT 05401-3819
Phone
(802) 862-6931
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2020

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 068-0000101 VT Primary

Addresses

Primary practice location

16 Orchard Ter
Carriage House Office
Burlington, VT 05401-3819

Mailing address

86 Saint Paul St Ste 311
Burlington, VT 05401-4958
Phone (802) 862-6931

Other identifiers 1

IdentifierTypeStateIssuer
1007043MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 16, 2024 through Jan 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
068-0000101VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1255385084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 SAINT PAUL ST STE 311",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014958",
            "telephone_number": "802-862-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ORCHARD TER",
            "address_2": "CARRIAGE HOUSE OFFICE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013819",
            "telephone_number": "802-862-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIN",
        "first_name": "AMY",
        "middle_name": "FAITH",
        "name_prefix": "Ms.",
        "credential": "M.A., L.C.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007043",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.