Madeleine Balcom, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0135634 Issued in VT

Practice address

73 Eastern Ave Ste 304
Saint Johnsbury, VT 05819-5646

Phone

(802) 377-0756

NPI assigned

Dec 13, 2023

Last updated

Dec 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1629846217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 EASTERN AVE STE 304",
            "city": "SAINT JOHNSBURY",
            "state": "VT",
            "postal_code": "058195646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 EASTERN AVE STE 304",
            "city": "SAINT JOHNSBURY",
            "state": "VT",
            "postal_code": "058195646",
            "telephone_number": "802-377-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCOM",
        "first_name": "MADELEINE",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0135634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra M Austin
• Eli Blinn Avery, APRN
• Baart Behavioral Health Services, Inc. (BAART Programs St. Johnsbury)
• Fawn M Baesemann, RN
• Stanley L Baker, M.D.
• Becky Aileen Baldauf
• Roanna Leigh Bamford, PMHNP-BC
• Krystal-Lynn Baptiste, LCMHC
• Bonnie Baraw, LPN
• Alfred J Barber, MD

• Mental Health Counselor in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.