Active NPI
Camilla McKenzie
- Counselor
- Newport, VT
National Provider Identifier
1568337012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 097.0135798
- Practice address
- 194 Main St Ste 210
Newport, VT 05855-6102 - Phone
- (802) 487-6717
- NPI assigned
- Oct 6, 2025
- Last updated
- Oct 6, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 097.0135798 | VT | Primary |
Addresses
Primary practice location
194 Main St Ste 210
Newport, VT 05855-6102
Mailing address
194 Main St Ste 228
Newport, VT 05855-6104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097.0135798 | VT | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1568337012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 MAIN ST STE 228",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058556104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 MAIN ST STE 210",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058556102",
"telephone_number": "802-487-6717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "CAMILLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-06",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VT",
"license": "097.0135798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.