Greeta Mae Soderholm, LICSW, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

151.0125896 Issued in VT

Practice address

76 Glen Rd
Burlington, VT 05401-4131

Phone

(802) 864-7467

Fax

(802) 864-1619

NPI assigned

Dec 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gsoderholm425490@direct.uvmhealth.org

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.

• University of Vermont Medical Center Inc

  • Internal Medicine Physician
  • Burlington, VT
  • NPI 1659309615
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1609381094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 GLEN RD",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014131",
            "telephone_number": "802-864-7467",
            "fax_number": "802-864-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 GLEN RD",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014131",
            "telephone_number": "802-864-7467",
            "fax_number": "802-864-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODERHOLM",
        "first_name": "GREETA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "LICSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151.0125896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Cole Snyder, MD
• J. Macgeorge Snyder, MED
• Jennifer Jean Soares, M.D.
• Halle G Sobel, MD
• Susan K Sobel, MSW, MFT
• Karen Elizabeth Sokol, MD
• Roger Soll, M.D.
• Andrea L Solomon, PA
• Andrew Jay Solomon, M.D.
• Richard Jay Solomon, MD

• Addiction (Substance Use Disorder) Counselor in Burlington, VT
• Providers in Burlington, VT by specialty
• Addiction (Substance Use Disorder) Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.