Individual provider Active NPI

Anne Louise Unangst, M.A., M.ED.

  • Clinical Psychologist
  • Calais, VT
National Provider Identifier
1477588994
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
239 Issued in VT
Practice address
84 Dragonfly LN # 189
Calais, VT 05648-7619
Phone
(802) 223-1225
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20130606000396 VT Practitioner - Psychologist Billing Independently 5092953869 Practice locations: Calais, VT
I20240614002765 VT Practitioner - Mental Health Counselor 5092953869 Practice locations: Montpelier, VT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Education

State licenses

LicenseStateTypeSpecialty
239VTMDClinical Psychologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 239 VT Primary

Addresses

NPPES NPI Registry

Primary practice location

84 Dragonfly LN # 189
Calais, VT 05648-7619

Mailing address

84 Dragonfly LN # 189
Calais, VT 05648-7619
Phone (802) 223-1225

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
0002615MedicaidVT
239OtherVTVT PSYCHOLOGY LICENSE #

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2025.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1477588994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 DRAGONFLY LN # 189",
            "city": "CALAIS",
            "state": "VT",
            "postal_code": "056487619",
            "telephone_number": "802-223-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 DRAGONFLY LN # 189",
            "city": "CALAIS",
            "state": "VT",
            "postal_code": "056487619",
            "telephone_number": "802-223-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNANGST",
        "first_name": "ANNE",
        "middle_name": "LOUISE",
        "credential": "M.A., M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002615",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT PSYCHOLOGY LICENSE #",
            "identifier": "239",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calais, VT

Sources for this page

Verify at the official NPI Registry.