Individual provider Active NPI

Lesley L Dunakin

  • Mental Health Counselor
  • Middlebury, VT
National Provider Identifier
1366053019
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0057620 Issued in VT
Practice address
5 Park St Ste 3C
Middlebury, VT 05753-1169
Phone
(802) 598-5607
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0057620 VT Primary

Addresses

Primary practice location

5 Park St Ste 3C
Middlebury, VT 05753-1169

Mailing address

5 Park St Ste 3C
Middlebury, VT 05753-1169
Phone (802) 598-5607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 11, 2024 through Mar 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
068.0057620VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Service of Addison County PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1366053019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PARK ST STE 3C",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531169",
            "telephone_number": "802-598-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PARK ST STE 3C",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531169",
            "telephone_number": "802-598-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAKIN",
        "first_name": "LESLEY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0057620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

Verify at the official NPI Registry.