Edmund P Piper, PSY.D.,LCMHC, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

000191 Issued in VT

Practice address

49 School Street
Hartford, VT 05047

Phone

(802) 295-3031

Fax

(802) 295-0820

NPI assigned

Dec 4, 2006

Last updated

Jul 10, 2007By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1417025693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 PATTRELL RD",
            "city": "NORWICH",
            "state": "VT",
            "postal_code": "050559611",
            "telephone_number": "802-649-5241",
            "fax_number": "802-649-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SCHOOL STREET",
            "city": "HARTFORD",
            "state": "VT",
            "postal_code": "05047",
            "telephone_number": "802-295-3031",
            "fax_number": "802-295-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPER",
        "first_name": "EDMUND",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PSY.D.,LCMHC, LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000191",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VT",
            "license": "0680000406",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007458",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Misavage, MSW LMSW LICSW
• Kelsi Nanatovich
• Donna Nestle, BA
• Maris O Noble, LICSW
• Alena Pardoe, BA
• Briana Plante, BA
• Margaret N. Punni, MS
• Karin A. Reed, MD
• Kristin A Reifenrath, MSW, LICSW
• Leda M. Rodis, LICSW

• Addiction (Substance Use Disorder) Counselor in Hartford, VT
• Providers in Hartford, 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 Jul 10, 2007; 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.