Active NPI
Blagorodna Efremovski, LCMHC., LADC
- Mental Health Counselor
- Essex Junction, VT
National Provider Identifier
1508317462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068.0057666
- Practice address
- 18 Steeplebush Rd
Essex Junction, VT 05452-2282 - Phone
- (802) 238-4459
- NPI assigned
- Oct 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 151.0124715 | VT | |
| Mental Health Counselor | 101YM0800X | 068.0057666 | VT | Primary |
Addresses
Primary practice location
18 Steeplebush Rd
Essex Junction, VT 05452-2282
Mailing address
18 Steeplebush Rd
Essex Junction, VT 05452-2282
Phone (802) 238-4459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151.0124715 | VT | MD | Addiction (Substance Use Disorder) Counselor |
| 068.0057666 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476576000000",
"number": "1508317462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 STEEPLEBUSH RD",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "054522282",
"telephone_number": "802-238-4459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 STEEPLEBUSH RD",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "054522282",
"telephone_number": "802-238-4459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EFREMOVSKI",
"first_name": "BLAGORODNA",
"name_prefix": "Prof.",
"credential": "LCMHC., LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-16",
"last_updated": "2016-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VT",
"license": "151.0124715",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068.0057666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.