Active NPI
Jeanne Evelyn Plo, M.ED., M.A.
- Mental Health Counselor
- Burlington, VT
National Provider Identifier
1265598460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0680000065
- Practice address
- 168 Battery St
Burlington, VT 05401-5285 - Phone
- (802) 862-0836
- Fax
- (802) 860-2399
- NPI assigned
- Dec 29, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0680000065 | VT | Primary |
Addresses
Primary practice location
168 Battery St
Burlington, VT 05401-5285
Mailing address
416 S Willard St
Burlington, VT 05401-4016
Phone (802) 862-0836
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00680000065 | Other | VT | MENTAL HEALTH COUNSELOR |
| 1007143 | Medicaid | VT |
Other names 1
- Jeanne Evelyn Plo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts, Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0680000065 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1265598460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 S WILLARD ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054014016",
"telephone_number": "802-862-0836",
"fax_number": "802-860-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 BATTERY ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054015285",
"telephone_number": "802-862-0836",
"fax_number": "802-860-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLO",
"first_name": "JEANNE",
"middle_name": "EVELYN",
"name_prefix": "Ms.",
"credential": "M.ED., M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "0680000065",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH COUNSELOR",
"identifier": "00680000065",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007143",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEANNE",
"last_name": "PLO",
"middle_name": "EVELYN",
"credential": "M.ED.,M.A.,L.C.M.H.C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Burlington, VT
Sources for this page
- 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.