Individual provider Active NPI

Charlene Ann Caiano, M.A., LCMHC, BCDMT

  • Mental Health Counselor
  • Williston, VT
National Provider Identifier
1306190376
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0057586 Issued in VT
Practice address
300 Cornerstone Dr
Suite 120
Williston, VT 05495-4012
Phone
(802) 310-2797
NPI assigned
Oct 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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 068.0057586 VT Primary

Addresses

Primary practice location

300 Cornerstone Dr
Suite 120
Williston, VT 05495-4012

Mailing address

300 Cornerstone Dr
Suite 120
Williston, VT 05495-4012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

27 Randolph Rd
Howell, NJ 07731-8611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
068.0057586VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1306190376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CORNERSTONE DR",
            "address_2": "SUITE 120",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054954012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CORNERSTONE DR",
            "address_2": "SUITE 120",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054954012",
            "telephone_number": "802-310-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIANO",
        "first_name": "CHARLENE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A., LCMHC, BCDMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0057586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

Verify at the official NPI Registry.