Active NPI
Bruce Lancer
- Addiction (Substance Use Disorder) Counselor
- South Burlington, VT
National Provider Identifier
1619353620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 000643
- Practice address
- 75 San Remo Dr
South Burlington, VT 05403-6385 - Phone
- (802) 488-7350
- NPI assigned
- Aug 3, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000643 | VT | Primary |
Addresses
Primary practice location
75 San Remo Dr
South Burlington, VT 05403-6385
Mailing address
208 Flynn Ave
Suite 3J
Burlington, VT 05401-5429
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 |
|---|---|---|---|
| 000643 | VT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard Center Inc | Past | Accepting new patients |
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": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1619353620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 FLYNN AVE",
"address_2": "SUITE 3J",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054015429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SAN REMO DR",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054036385",
"telephone_number": "802-488-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCER",
"first_name": "BRUCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-03",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VT",
"license": "000643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.