Individual provider Active NPI

Amanda Rose Hallman

  • Mental Health Counselor
  • Middlebury, VT
National Provider Identifier
1487381133
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
097.0123951 Issued in VT
Practice address
360 Boardman St
Middlebury, VT 05753-8691
Phone
(802) 353-7231
NPI assigned
Aug 3, 2022
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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 097.0123951 VT Primary

Addresses

Primary practice location

360 Boardman St
Middlebury, VT 05753-8691

Mailing address

PO Box 304
Middlebury, VT 05753-0304
Phone (802) 353-7231

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ahallman@healthymindvt.org
Direct Messaging Address ahallman@healthymindvt.org Direct

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
I20250102001740 VT Practitioner - Mental Health Counselor 4385171305 Practice locations: Middlebury, VT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Vermont College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

360 Boardman St
Middlebury, VT 05753-8691
Phone (802) 353-7231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097.0123951VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1487381133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057530304",
            "telephone_number": "802-353-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 BOARDMAN ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538691",
            "telephone_number": "802-353-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLMAN",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "097.0123951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahallman@healthymindvt.org",
            "affiliation": "N",
            "address_1": "360 Boardman St",
            "city": "Middlebury",
            "state": "VT",
            "country_code": "US",
            "postal_code": "057538691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahallman@healthymindvt.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "360 Boardman St",
            "city": "Middlebury",
            "state": "VT",
            "country_code": "US",
            "postal_code": "057538691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

Verify at the official NPI Registry.