Ennio Ammendola, PHD
Individual provider Active NPI Counseling Psychologist · Burlington, VT
NPI 1336028661 · NPPES record last updated Aug 6, 2026
Key facts
- NPI
- 1336028661
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- Practice address
- 1 S Prospect St
Burlington, VT 05401-3456 - Phone
- (347) 752-3003
- NPI assigned
- Aug 29, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Yes | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
1 S Prospect St
Burlington, VT 05401-3456
Mailing address
111 Colchester Ave
Burlington, VT 05401-1473
Phone (347) 752-3003
Other providers in Burlington, VT
- Abiy Berhie Ambaye
- Cory C Ambrose-Finch
- Ameriwound Physicians Inc VT
- Suzanne Elizabeth Ames
- Leila Amini
- Elaine Rose Amoresano
- Amy Curtis, Ma, LLC
- Amy Siegel Licsw LLC
- Gary Chun-I An
- Jenna Anain
All providers in Burlington, VT · Counseling Psychologist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.