Individual provider Active NPI

Emily Anne McDonald, MS, LCMHC

  • Mental Health Counselor
  • Winooski, VT
National Provider Identifier
1407620628
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0135582 Issued in VT
Practice address
20 W Canal St Ste C2-3
Winooski, VT 05404-2131
Phone
(973) 477-6513
NPI assigned
Nov 8, 2023
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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 068.0135582 VT Primary

Addresses

Primary practice location

20 W Canal St Ste C2-3
Winooski, VT 05404-2131

Mailing address

402 Dalton Dr Unit a
Colchester, VT 05446-3103
Phone (973) 477-6513

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 31, 2024 through Jan 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
068.0135582VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Worry Stone Therapy LLC Mental Health CurrentSince Feb 25, 2024 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, 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": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1407620628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 DALTON DR UNIT A",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054463103",
            "telephone_number": "973-477-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W CANAL ST STE C2-3",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054042131",
            "telephone_number": "973-477-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MS, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0135582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winooski, VT

Sources for this page

Verify at the official NPI Registry.