NPIMap

Organization Active NPI

Counseling Service of Addison County

  • Behavior Analyst
  • Middlebury, VT
National Provider Identifier
1356700819
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
COUNSELING SERVICE OF ADDISON COUNTY
Practice address
67 Catamount Park
Middlebury, VT 05753-1397
Phone
(802) 388-8188
Fax
(802) 388-8183
NPI assigned
Feb 12, 2016
Last updated
Feb 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Ms. Emily A Vandeweert
Title
Client Health/Billing MGR
Phone
(802) 388-6751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

67 Catamount Park
Middlebury, VT 05753-1397

Mailing address

89 Main St
Middlebury, VT 05753-1459
Phone (802) 388-6751

Other identifiers 1

IdentifierTypeStateIssuer
1336278985MedicaidVT

National Provider Directory

National Provider Directory
Tax ID family
Counseling Service of Addison County Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

67 Catamount Park
Middlebury, VT 05753
Phone (802) 388-6751

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1356700819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531459",
            "telephone_number": "802-388-6751",
            "fax_number": "802-388-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CATAMOUNT PARK",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531397",
            "telephone_number": "802-388-8188",
            "fax_number": "802-388-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SERVICE OF ADDISON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "VANDEWEERT",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLIENT HEALTH/BILLING MGR",
        "authorized_official_telephone_number": "802-388-6751",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336278985",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.