Susannah C. Blachly, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0081424 Issued in VT

Practice address

174 Elm St
Montpelier, VT 05602-2262

Phone

(802) 498-3186

NPI assigned

Mar 24, 2014

Last updated

Mar 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1356768782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 ELM ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022262",
            "telephone_number": "802-498-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 ELM ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022262",
            "telephone_number": "802-498-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACHLY",
        "first_name": "SUSANNAH",
        "middle_name": "C.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0081424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Montpelier, VT
• Providers in Montpelier, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.