Individual provider Active NPI

Andrea Hathaway-Miglorie, LCMHC, AAP

  • Mental Health Counselor
  • Rutland, VT
National Provider Identifier
1275312704
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0135475 Issued in VT
Practice address
7 Court SQ
Rutland, VT 05701-4030
Phone
(802) 345-9257
Fax
(802) 775-3307
NPI assigned
Sep 25, 2023
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0135475 VT Primary

Addresses

Primary practice location

7 Court SQ
Rutland, VT 05701-4030

Mailing address

78 S Main St
Rutland, VT 05701-4594
Phone (802) 775-8224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • 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
I20240524000767 VT Practitioner - Mental Health Counselor 9032551817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutland Mental Health Services IncGroup PAC ID 6709850324, 14 clinicians

Practice addresses (Care Compare)

78 S Main St
Rutland, VT 05701-4591
Phone (802) 775-8224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068.0135475VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rutland Mental Health Services, Inc. CurrentSince Apr 16, 2024 Accepting new patients
Rutland Mental Health Services, Inc. Past Accepting new patients

Locations

78 S Main St
Rutland, VT 05701
Phone (802) 775-2381

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1275312704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 S MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014594",
            "telephone_number": "802-775-8224",
            "fax_number": "802-747-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COURT SQ",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014030",
            "telephone_number": "802-345-9257",
            "fax_number": "802-775-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY-MIGLORIE",
        "first_name": "ANDREA",
        "credential": "LCMHC, AAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0135475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.