Integrative Counseling Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

INTEGRATIVE COUNSELING SERVICES LLC

Practice address

28 Howard St Ste 206
Burlington, VT 05401-5983

Phone

(802) 793-6655

NPI assigned

Dec 7, 2022

Last updated

Dec 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carmen Maron Walker, MA, LCMHCNPI 1619201415

Title

Pyschotherapist

Phone

(802) 793-6655

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: carmen@integrativecounselingvt.com

Practitioners 1

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.

• Carmen Walker

  • Mental Health Counselor
  • South Burlington, VT
  • NPI 1619201415
  NPD Authorized official

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1376254722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HOWARD ST STE 206",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015983",
            "telephone_number": "802-793-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 HOWARD ST STE 206",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015983",
            "telephone_number": "802-793-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "MARON",
        "authorized_official_title_or_position": "PYSCHOTHERAPIST",
        "authorized_official_telephone_number": "802-793-6655",
        "authorized_official_credential": "MA, LCMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025272",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carmen@integrativecounselingVT.com",
            "affiliation": "N",
            "address_1": "28 Howard St Ste 206",
            "city": "Burlington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054015983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Aya Inoue, LICSW
• Integrative Dental Care
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• Patricia F Irish, M.A.
• Shannon Irvine-Marsh, MD

• Adult Mental Health Clinic/Center in Burlington, VT
• Providers in Burlington, VT by specialty
• Adult Mental Health Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.