Individual provider Active NPI

Gikanh Timberwolf, MA

  • Student in an Organized Health Care Education/Training Program
  • White River JCT, VT
National Provider Identifier
1467140681
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
097.0135991 Issued in VT
Practice address
132 South Main Street
Suite 100
White River JCT, VT 05001
Phone
(802) 295-3031
Fax
(802) 281-7080
NPI assigned
Apr 26, 2023
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X 097.0135991 VT
Student in an Organized Health Care Education/Training Program 390200000X 097.0135991 VT Primary
Community Health Worker 172V00000X 097.0135991 VT

Addresses

Primary practice location

132 South Main Street
Suite 100
White River JCT, VT 05001

Mailing address

390 River St
Springfield, VT 05156-2226
Phone (802) 886-4500

Other practice location 1

132 S Main St
White River Junction, VT 05001-7234
Phone (802) 295-3013 ext. 2618

Other practice location 2

289 County Rd
Windsor, VT 05089-9000
Phone (802) 674-6711

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
097.0135991VTMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care and Rehabilitation Services of Southeastern Vermont, Inc. PastSince Feb 11, 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": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1467140681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 RIVER ST",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562226",
            "telephone_number": "802-886-4500",
            "fax_number": "802-886-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 SOUTH MAIN STREET",
            "address_2": "SUITE 100",
            "city": "WHITE RIVER JCT",
            "state": "VT",
            "postal_code": "05001",
            "telephone_number": "802-295-3031",
            "fax_number": "802-281-7080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 S Main St",
            "address_purpose": "LOCATION",
            "city": "White River Junction",
            "state": "VT",
            "postal_code": "050017234",
            "country_code": "US",
            "telephone_number": "802-295-3013 x2618",
            "fax_number": "802-295-0820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "289 County Rd",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "VT",
            "postal_code": "050899000",
            "country_code": "US",
            "telephone_number": "802-674-6711",
            "fax_number": "802-674-7155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMBERWOLF",
        "first_name": "GIKANH",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VT",
            "license": "097.0135991",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VT",
            "license": "097.0135991",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "VT",
            "license": "097.0135991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White River JCT, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.