Peter A Hathaway, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

000467 Issued in VT

Practice address

135 Granger St
Rutland, VT 05701-4405

Phone

(802) 747-3588

Fax

(802) 775-7196

NPI assigned

Oct 26, 2010

Last updated

Oct 26, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1407156318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GRANGER ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014405",
            "telephone_number": "802-747-3588",
            "fax_number": "802-775-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 GRANGER ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014405",
            "telephone_number": "802-747-3588",
            "fax_number": "802-775-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "PETER",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Gaddes Hartenstein, OTR CHT
• Robert W Hartenstein, AU.D.
• Lisa Hartman, APRN
• John Hartmann, MD
• Andrea Hathaway-Miglorie, LCMHC, AAP
• Haven Health Center of Rutland, LLC
• Georgette Marie Haviland
• Levi Haviland
• Aaron Dale Hay, BC-HIS
• Brandy Joy Haymaker, FNP-BC

• Addiction (Substance Use Disorder) Counselor in Rutland, VT
• Providers in Rutland, VT by specialty
• Addiction (Substance Use Disorder) Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.