Emily Gustafson Crowder, EDS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0134165 Issued in VT

Practice address

16 George St
Winooski, VT 05404-1405

Phone

(864) 205-8587

NPI assigned

Mar 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Firm Foundations Counseling & Wellness

  • Professional Counselor
  • Columbia, SC
  • NPI 1841572245
  NPD (past)

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587254400000",
    "number": "1265707137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GEORGE ST",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041405",
            "telephone_number": "864-205-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GEORGE ST",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041405",
            "telephone_number": "864-205-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "EMILY",
        "middle_name": "GUSTAFSON",
        "credential": "EDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5722",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Ann Cate, M.A.
• Sarah Coonrod, RN
• Josephine M Corcoran, LCMHC
• Kimberly Corley, MA
• Heidelise Corriveau, M.S., CCC-SLP
• Hannah Culver
• Jenny Sue Cunningham, LCMHC
• Lucy B. D'Aponte, M.S., P.T.
• Patricia E Danehey
• Mary Ann Donnelly-Debay, PSY.D.

• Mental Health Counselor in Winooski, VT
• Providers in Winooski, 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 Apr 19, 2020; 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.