Individual provider Active NPI

Megan Speck, LCMHC

  • Mental Health Counselor
  • Williston, VT
National Provider Identifier
1508621012
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0135710 Issued in VT
Practice address
183 Talcott Rd Ste 206
Williston, VT 05495-2075
Phone
(802) 222-1386
NPI assigned
Feb 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 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 068.0135710 VT Primary

Addresses

Primary practice location

183 Talcott Rd Ste 206
Williston, VT 05495-2075

Mailing address

102 Seymour St Apt 319
Williston, VT 05495-4507
Phone (802) 222-1386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 30, 2024 through Apr 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
068.0135710VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Megan Speck Ms Mental Health CurrentSince Feb 18, 2024 Accepting new patients

Locations

183 Talcott Rd
Ste 206
Williston, VT 05495
Phone (802) 424-9268

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": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1508621012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SEYMOUR ST APT 319",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054954507",
            "telephone_number": "802-222-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 TALCOTT RD STE 206",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054952075",
            "telephone_number": "802-222-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECK",
        "first_name": "MEGAN",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0135710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

Verify at the official NPI Registry.