Active NPI
Jeana Embers, LCMHC
- Mental Health Counselor
- White River Junction, VT
National Provider Identifier
1578687950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068-0000471
- Practice address
- 85 N Main St
Suite 210
White River Junction, VT 05001-7134 - Phone
- (802) 295-2600
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068-0000471 | VT | Primary |
Addresses
Primary practice location
85 N Main St
Suite 210
White River Junction, VT 05001-7134
Mailing address
PO Box 504
White River Junction, VT 05001-0504
Phone (802) 295-2600
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00049353 | Other | VT | BLUE CROSS BLUE SHIELD |
| 30425815 | Medicaid | NH | |
| 1007450 | Medicaid | VT | |
| 14Y008004VT01 | Other | NH | ANTHEM BCBS |
| 1153402 | Other | CIGNA |
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 |
|---|---|---|---|
| 068-0000471 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578687950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 504",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050010504",
"telephone_number": "802-295-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 N MAIN ST",
"address_2": "SUITE 210",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050017134",
"telephone_number": "802-295-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMBERS",
"first_name": "JEANA",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068-0000471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00049353",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30425815",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007450",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "14Y008004VT01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1153402",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in White River Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.