Individual provider Active NPI

Scott Daniel Verzilli, LCMHC

  • Mental Health Counselor
  • Morrisville, VT
National Provider Identifier
1316061815
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
65 Portland Street
Morrisville, VT 05661
Phone
(802) 888-8898
Fax
(802) 888-2880
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 VT Primary

Addresses

Primary practice location

65 Portland Street
Morrisville, VT 05661

Mailing address

PO Box 1592
Morrisville, VT 05661-1592
Phone (802) 888-8898

Other identifiers 1

IdentifierTypeStateIssuer
1011816MedicaidVT

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
I20240122001778 VT Practitioner - Mental Health Counselor 2365894722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Lamoille County Mental Health ServicesGroup PAC ID 4688742893, 6 clinicians

Practice addresses (Care Compare)

72 Harrel St
Morrisville, VT 05661-8526
Phone (802) 888-5026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
680000668VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lamoille County Mental Health Services CurrentSince Jan 1, 2024 Accepting new patients
Green Mountain Therapeutic Services, LLC Mental Health Past Accepting new patients

Locations

520 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4914

72 Harrel St
Morrisville, VT 05661
Phone (802) 888-3131

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316061815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1592",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056611592",
            "telephone_number": "802-888-8898",
            "fax_number": "802-888-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PORTLAND STREET",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "05661",
            "telephone_number": "802-888-8898",
            "fax_number": "802-888-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERZILLI",
        "first_name": "SCOTT",
        "middle_name": "DANIEL",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011816",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, VT

Sources for this page

Verify at the official NPI Registry.