Individual provider Active NPI

Marcia Ellen Reese, MED LCMHC

  • Mental Health Counselor
  • Jericho, VT
National Provider Identifier
1265500482
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068-0000006 Issued in VT
Practice address
24 Foothills Drive
Jericho, VT 05465
Phone
(802) 899-3800
Fax
(802) 899-3800
NPI assigned
Dec 4, 2006
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0680000006 VT
Mental Health Counselor 101YM0800X 068-0000006 VT Primary

Addresses

Primary practice location

24 Foothills Drive
Jericho, VT 05465

Mailing address

24 Foothills Drive
Jericho, VT 05465
Phone (802) 899-3800

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
I20240327000862 VT Practitioner - Mental Health Counselor 3577908813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24 Foothills Dr
Jericho, VT 05465-2097
Phone (802) 899-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
0680000006VTMDCounselor
068-0000006VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alive & Well LLC Mental Health CurrentSince Feb 12, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1265500482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FOOTHILLS DRIVE",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "05465",
            "telephone_number": "802-899-3800",
            "fax_number": "802-899-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FOOTHILLS DRIVE",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "05465",
            "telephone_number": "802-899-3800",
            "fax_number": "802-899-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "MARCIA",
        "middle_name": "ELLEN",
        "credential": "MED LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VT",
            "license": "0680000006",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, VT

Sources for this page

Verify at the official NPI Registry.