Active NPI
Letitia Diane Tayeby, MA, N.C.C.
- Mental Health Counselor
- Charlotte, VT
National Provider Identifier
1265699771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068.0131857
- Practice address
- 47 Vineyard View Dr
Charlotte, VT 05445-4201 - Phone
- (802) 380-0838
- NPI assigned
- May 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 068.0131857 | VT | Primary |
Addresses
Primary practice location
47 Vineyard View Dr
Charlotte, VT 05445-4201
Mailing address
47 Vineyard View Dr
Charlotte, VT 05445-4201
Phone (802) 380-0838
Other practice location 1
105 Loudon Rd
Building 3
Concord, NH 03301-5601
Phone (603) 228-0547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240216004217 | VT | Practitioner - Mental Health Counselor | 0345684304 | Practice locations: Charlotte, VT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068.0131857 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1265699771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 VINEYARD VIEW DR",
"city": "CHARLOTTE",
"state": "VT",
"postal_code": "054454201",
"telephone_number": "802-380-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 VINEYARD VIEW DR",
"city": "CHARLOTTE",
"state": "VT",
"postal_code": "054454201",
"telephone_number": "802-380-0838"
}
],
"practiceLocations": [
{
"address_1": "105 Loudon Rd",
"address_2": "Building 3",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NH",
"postal_code": "033015601",
"country_code": "US",
"telephone_number": "603-228-0547",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYEBY",
"first_name": "LETITIA",
"middle_name": "DIANE",
"credential": "MA, N.C.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068.0131857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, VT
- Kris Marie Root, LCMHC
- Shelburne Mind Body Medicine LLC (Shelburne Mind Body Medicine)
- Jane Snyder
- Laetitia Caroline Sprigg, LCMHC
- Catherine Stanger, PH.D.
- Luis Felipe Toro Reyes, DOM, LAC
- Vermont Orthopaedic Imaging, PLC
- Lee Weisman, M.D.
- Madeline Elizabeth Wilson, M.S., CCC-SLP
- Kimberly M Ziegelman, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.