Individual provider Active NPI

Julie Elizabeth Dauth

  • Mental Health Counselor
  • Stowe, VT
National Provider Identifier
1265998926
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
097.0134167 Issued in VT
Practice address
56 Old Farm Rd
Stowe, VT 05672-4434
Phone
(802) 585-0071
NPI assigned
Feb 18, 2019
Last updated
Feb 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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 VT
Mental Health Counselor 101YM0800X 097.0134167 VT Primary

Addresses

Primary practice location

56 Old Farm Rd
Stowe, VT 05672-4434

Mailing address

1646 Lapland Rd
Waterville, VT 05492-9768
Phone (802) 644-5147

Other identifiers 1

IdentifierTypeStateIssuer
097.0134167OtherVTSTATE OF VERMONT ALLIED MENTAL HEALTH PRACTIONERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 5, 2024 through Feb 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
097.0134167VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1265998926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 LAPLAND RD",
            "city": "WATERVILLE",
            "state": "VT",
            "postal_code": "054929768",
            "telephone_number": "802-644-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 OLD FARM RD",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056724434",
            "telephone_number": "802-585-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUTH",
        "first_name": "JULIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "097.0134167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF VERMONT ALLIED MENTAL HEALTH  PRACTIONERS",
            "identifier": "097.0134167",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stowe, VT

Sources for this page

Verify at the official NPI Registry.