Active NPI
Debra Ellan Sargent, LCMHC
- Mental Health Counselor
- Montpelier, VT
National Provider Identifier
1427076355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068-0000031
- Practice address
- 7 Main St
Suite #3
Montpelier, VT 05602-2870 - Phone
- (802) 223-3803
- Fax
- (802) 223-1940
- NPI assigned
- Jul 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068-0000031 | VT | Primary |
Addresses
Primary practice location
7 Main St
Suite #3
Montpelier, VT 05602-2870
Mailing address
7 Main St
Suite #3
Montpelier, VT 05602-2870
Phone (802) 223-3803
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006696 | Medicaid | VT | |
| 61557 | Other | VT | MOHAWK VALLEY |
| 6696 | Other | VT | BLUE CROSS/BLUE SHIIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068-0000031 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427076355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 MAIN ST",
"address_2": "SUITE #3",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056022870",
"telephone_number": "802-223-3803",
"fax_number": "802-223-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 MAIN ST",
"address_2": "SUITE #3",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056022870",
"telephone_number": "802-223-3803",
"fax_number": "802-223-1940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARGENT",
"first_name": "DEBRA",
"middle_name": "ELLAN",
"name_prefix": "Ms.",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068-0000031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006696",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOHAWK VALLEY",
"identifier": "61557",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIIELD",
"identifier": "6696",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montpelier, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.