Individual provider Active NPI

Emma R Sheldon, MS

  • Mental Health Counselor
  • Brattleboro, VT
National Provider Identifier
1518510403
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0134918 Issued in VT
Practice address
439 West River Road
Brattleboro, VT 05301
Phone
(802) 579-2500
NPI assigned
Jul 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 097.0134537 VT
Mental Health Counselor 101YM0800X 068.0134918 VT Primary

Addresses

Primary practice location

439 West River Road
Brattleboro, VT 05301

Mailing address

PO Box 913
Brattleboro, VT 05302-0913
Phone (802) 451-0426

Other practice location 1

51 Fairview Street
Brattleboro, VT 05301-6629
Phone (802) 254-6028

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
068.0134918VTMDMental Health Counselor
097.0134537VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care and Rehabilitation Services of Southeastern Vermont, Inc. PastSince Sep 1, 2019 Accepting new patients
Health Care and Rehabilitation Services of Southeastern Vermont, Inc. PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1518510403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 913",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053020913",
            "telephone_number": "802-451-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 WEST RIVER ROAD",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "05301",
            "telephone_number": "802-579-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Fairview Street",
            "address_purpose": "LOCATION",
            "city": "Brattleboro",
            "state": "VT",
            "postal_code": "053016629",
            "country_code": "US",
            "telephone_number": "802-254-6028",
            "fax_number": "802-254-7501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "EMMA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "097.0134537",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.