Andrea Waldo, MS, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068-0000331 Issued in VT

Practice address

5138 Shelburne Rd
Shelburne, VT 05482-6698

Phone

(802) 363-9515

NPI assigned

Dec 18, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265595805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054820846",
            "telephone_number": "802-363-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5138 SHELBURNE RD",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826698",
            "telephone_number": "802-363-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDO",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "MS, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006797",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vermont Physical Therapy PLC
• Vermont Relational Psychology PLLC
• Vesta, PLC (Back in Balance)
• Jeffrey Blaine Waite, RPH.
• Wake Robin Corporation
• Walgreen Co (Walgreens #18325)
• Keith P Walsh, AUD
• William Warnock, N.D.
• Kathryn Webb, M.S.
• Beth Anne Wermuth, MA

• Mental Health Counselor in Shelburne, VT
• Providers in Shelburne, 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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.