Active NPI
Brian B Wilcox, LCMHC
- Mental Health Counselor
- South Burlington, VT
National Provider Identifier
1306953807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068-0000514
- Practice address
- 56 Twin Oaks Ter
South Burlington, VT 05403-7167 - Phone
- (802) 847-3333
- Fax
- (802) 847-1424
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068-0000514 | VT | Primary |
Addresses
Primary practice location
56 Twin Oaks Ter
South Burlington, VT 05403-7167
Mailing address
69 Bryan Pond Rd
Morrisville, VT 05661-9123
Phone (802) 888-8462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007522 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068-0000514 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306953807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 BRYAN POND RD",
"city": "MORRISVILLE",
"state": "VT",
"postal_code": "056619123",
"telephone_number": "802-888-8462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 TWIN OAKS TER",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054037167",
"telephone_number": "802-847-3333",
"fax_number": "802-847-1424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "BRIAN",
"middle_name": "B",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068-0000514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007522",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.