Individual provider Active NPI

Letitia Diane Tayeby, MA, N.C.C.

  • Mental Health Counselor
  • Charlotte, VT
National Provider Identifier
1265699771
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0131857 Issued in VT
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

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
068.0131857VTMDMental 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

Sources for this page

Verify at the official NPI Registry.