William Myregaard, LCMHC
Individual provider Active NPI Mental Health Counselor · Winooski, VT
NPI 1265648356 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1265648356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 068-0000274 (VT)
- Practice address
- 20 W Canal St Ste C11
Winooski, VT 05404-2147 - Phone
- (802) 343-1158
- Fax
- (802) 654-8821
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068-0000274 | VT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068-0000274 | VT | Yes |
Addresses
Primary practice location
20 W Canal St Ste C11
Winooski, VT 05404-2147
Mailing address
112 Valley View Rd
Richmond, VT 05477-9197
Phone (802) 343-1158
Other practice location 1
1 Mill St
Suite 204
Burlington, VT 05401-1530
Phone (802) 343-1158
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007082 | Medicaid | VT |
Other providers in Winooski, VT
- Diane Montgomery-Logan
- Jessica M Morrison
- Katlin Mostue-Nesbit
- Jeanette W. Moy
- Sarah Elizabeth Murphy
- Dorsey T Naylor
- Elena Sergeyevna Nichols
- Peter Richard Nobes
- Tyler Patrick O'Bryan
- Bernadette M O'Neil
All providers in Winooski, VT · Mental Health Counselor in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.