Organization Active NPI

CFC Incorporated

  • Mental Health Counselor
  • South Burlington, VT
National Provider Identifier
1336105451
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068-0000015 Issued in VT
Legal business name
CFC INCORPORATED
Practice address
1233 Shelburne Rd
Suite D4
South Burlington, VT 05403-7700
Phone
(802) 658-2390
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Lawrence Green, LCMHCNPI 1538120480
Title
President
Phone
(802) 658-2390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 068-0000015 VT Primary

Addresses

Primary practice location

1233 Shelburne Rd
Suite D4
South Burlington, VT 05403-7700

Mailing address

1233 Shelburne Rd
Suite D4
South Burlington, VT 05403-7700
Phone (802) 658-2390

Other identifiers 3

IdentifierTypeStateIssuer
347880OtherVTMVP
1006850MedicaidVT
5062OtherVTBCBS

National Provider Directory

National Provider Directory

Locations

1233 Shelburne Rd
Ste D4
South Burlington, VT 05403
Phone (802) 582-6750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336105451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 SHELBURNE RD",
            "address_2": "SUITE D4",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037700",
            "telephone_number": "802-658-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SHELBURNE RD",
            "address_2": "SUITE D4",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037700",
            "telephone_number": "802-658-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-658-2390",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "347880",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006850",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5062",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.