Individual provider Active NPI

Jonathan Ayers, LCMHC

  • Professional Counselor
  • Burlington, VT
National Provider Identifier
1376066423
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
068.0125707 Issued in VT
Practice address
150 Cherry St
Burlington, VT 05401-3818
Phone
(802) 310-2798
NPI assigned
Jul 20, 2017
Last updated
Jul 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 149.0127854 VT
Professional Counselor 101YP2500X 068.0125707 VT Primary

Addresses

Primary practice location

150 Cherry St
Burlington, VT 05401-3818

Mailing address

90 Harrington Ave
Shelburne, VT 05482-7106
Phone (802) 310-2798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 15, 2024 through Jan 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.0127854VTMDAddiction (Substance Use Disorder) Counselor
068.0125707VTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Counseling CurrentSince Jun 14, 2020 Accepting new patients

Locations

150 Cherry St
Burlington, VT 05401
Phone (317) 371-3846

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1376066423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HARRINGTON AVE",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827106",
            "telephone_number": "802-310-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CHERRY ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013818",
            "telephone_number": "802-310-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYERS",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "149.0127854",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VT",
            "license": "068.0125707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.