Margot Eastman, LCMHC
Individual provider Active NPI Counselor · Newport, VT
NPI 1356493852 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1356493852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 068-0000597 (VT)
- Practice address
- 154 Duchess Ave
Newport, VT 05855-5516 - Phone
- (802) 334-6744
- Fax
- (802) 334-7455
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068-0000597 | VT | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 068-0000597 | VT | Yes |
Addresses
Primary practice location
154 Duchess Ave
Newport, VT 05855-5516
Mailing address
2606 S Albany Rd
Craftsbury Common, VT 05827-9762
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009108 | Medicaid | VT |
Other providers in Newport, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.