Individual provider Active NPI

Danielle Seymour, M.A., LCMHC

  • Mental Health Counselor
  • Essex Junction, VT
National Provider Identifier
1679094841
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0680122532 Issued in VT
Practice address
15 Pinecrest Dr
Essex Junction, VT 05452-2912
Phone
(802) 288-1087
Fax
(802) 878-4404
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0680122532 VT Primary

Addresses

Primary practice location

15 Pinecrest Dr
Essex Junction, VT 05452-2912

Mailing address

15 Pinecrest Dr
Essex Junction, VT 05452-2912
Phone (802) 288-1087

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240911001298 VT Practitioner - Mental Health Counselor 6507306081 Practice locations: South Burlington, VT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

27 Rye Cir
South Burlington, VT 05403-7632
Phone 80265476079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0680122532VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679094841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PINECREST DR",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522912",
            "telephone_number": "802-288-1087",
            "fax_number": "802-878-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PINECREST DR",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522912",
            "telephone_number": "802-288-1087",
            "fax_number": "802-878-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "DANIELLE",
        "credential": "M.A., LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680122532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

Verify at the official NPI Registry.