Amy Emler-Shaffer, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068-57621 Issued in VT

Practice address

1619 Luce Rd
Plainfield, VT 05667-9101

Phone

(802) 505-8248

NPI assigned

Oct 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1649522707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 LUCE RD",
            "city": "PLAINFIELD",
            "state": "VT",
            "postal_code": "056679101",
            "telephone_number": "802-505-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 LUCE RD",
            "city": "PLAINFIELD",
            "state": "VT",
            "postal_code": "056679101",
            "telephone_number": "802-505-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMLER-SHAFFER",
        "first_name": "AMY",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0057621",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-57621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Ap Craig, M.D.
• Ruth A Crose, M.D.
• Paul Leo Davoren, DDS
• Tina L Desmarais, M.A.
• Katarzyna Ewa Dionne, DMD
• Jessica Fisch, P.A.C.
• Robin Fletcher
• Marin Fowler
• Roni Golden, DMD
• Carla Hancock, LICSW

• Mental Health Counselor in Plainfield, VT
• Providers in Plainfield, 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 15, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.