Individual provider Active NPI

Marlena Silva, LCMHC

  • Mental Health Counselor
  • South Burlington, VT
National Provider Identifier
1437550738
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0680101266 Issued in VT
Practice address
51 Timber LN
South Burlington, VT 05403-5201
Phone
(802) 373-3323
Fax
(802) 864-6475
NPI assigned
Sep 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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 0680101266 VT Primary

Addresses

Primary practice location

51 Timber LN
South Burlington, VT 05403-5201

Mailing address

55 Main St Ste 3
Essex Junction, VT 05452-6100
Phone (802) 383-0039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205000340 VT Practitioner - Mental Health Counselor 9830532191 Practice locations: Essex Junction, VT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0680101266VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Champlain Obstetrics and Gynecology, P.C. CurrentSince Jan 7, 2024 Accepting new patients

Locations

55 Main St
Ste 3
Essex Junction, VT 05452
Phone (802) 383-0039

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1437550738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MAIN ST STE 3",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054526100",
            "telephone_number": "802-383-0039",
            "fax_number": "802-878-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 TIMBER LN",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054035201",
            "telephone_number": "802-373-3323",
            "fax_number": "802-864-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "MARLENA",
        "name_prefix": "Ms.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-06",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680101266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.