Active NPI
Martha Jean Coulter, M.ED.
- Psychologist
- Rutland, VT
National Provider Identifier
1629107156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0470000386
- Practice address
- 128 Merchants Row
6TH Floor
Rutland, VT 05701-5909 - Phone
- (802) 773-1411
- Fax
- (802) 775-7319
- NPI assigned
- Mar 2, 2007
- Last updated
- Nov 14, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 000194-1 | NY | |
| Psychologist | 103T00000X | 0470000386 | VT | Primary |
| School Psychologist | 103TS0200X | VT |
Addresses
Primary practice location
128 Merchants Row
6TH Floor
Rutland, VT 05701-5909
Mailing address
257 S. Main St.
Rcsu
Rutland, VT 05701
Phone (802) 773-1411
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062-2690 | Other | VT | BLUE CROSS AND BLUE SHLD |
| 2028356 | Other | VT | CIGNA |
| 1002138 | Medicaid | VT | |
| 956673 | Other | VT | MVP |
| 120304000 | Other | VT | MAGELLAN HEALTH SERVICES |
| VF6352 | Other | NY | EMPIRE BC/BS |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000194-1 | NY | MD | Mental Health Counselor |
| 0470000386 | VT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258156800000",
"number": "1629107156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 S. MAIN ST.",
"address_2": "RCSU",
"city": "RUTLAND",
"state": "VT",
"postal_code": "05701",
"telephone_number": "802-773-1411",
"fax_number": "802-775-7319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 MERCHANTS ROW",
"address_2": "6TH FLOOR",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057015909",
"telephone_number": "802-773-1411",
"fax_number": "802-775-7319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULTER",
"first_name": "MARTHA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2009-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "000194-1",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "0470000386",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VT",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHLD",
"identifier": "062-2690",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2028356",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1002138",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "956673",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH SERVICES",
"identifier": "120304000",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "VF6352",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.