Organization Active NPI

Sunrise Supportive Counseling LLC

  • Clinical Social Worker
  • South Burlington, VT
National Provider Identifier
1366087488
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUNRISE SUPPORTIVE COUNSELING LLC
Practice address
56 W Twin Oaks Ter Ste 3
South Burlington, VT 05403-7138
Phone
(802) 227-2670
NPI assigned
Nov 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Kristi CornforthNPI 1619433364
Title
Owner
Phone
(802) 227-2670

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

56 W Twin Oaks Ter Ste 3
South Burlington, VT 05403-7138

Mailing address

PO Box 189
Colchester, VT 05446-0189
Phone (802) 227-2670

National Provider Directory

National Provider Directory

Locations

125 Saint Paul St
Ste 106
Burlington, VT 05401
Phone (802) 316-8131

133 Blakely Rd
Ste 210
Colchester, VT 05446
Phone (802) 227-2670

Practitioners & affiliated clinicians

Practitioners 3

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": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1366087488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054460189",
            "telephone_number": "802-227-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W TWIN OAKS TER STE 3",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037138",
            "telephone_number": "802-227-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE SUPPORTIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "CORNFORTH",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-227-2670"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 16, 2023; 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.