Gavin Flanagan, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0089767 Issued in VT

Practice address

1028 Lake Dunmore Rd
Salisbury, VT 05769-9755

Phone

(802) 735-9080

Fax

(815) 572-0389

NPI assigned

Aug 27, 2007

Sex

Male

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• Mind and Heart Counseling, PLC

  • Adult Mental Health Clinic/Center
  • Salisbury, VT
  • NPI 1073233128
  NPD Authorized official

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610755200000",
    "number": "1689867244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057530322",
            "telephone_number": "802-735-9080",
            "fax_number": "815-572-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 LAKE DUNMORE RD",
            "city": "SALISBURY",
            "state": "VT",
            "postal_code": "057699755",
            "telephone_number": "802-735-9080",
            "fax_number": "815-572-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "GAVIN",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2021-01-16",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0089767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Clark Corey, M .A.
• Counseling Service of Addison County, Inc
• Celina Rae Fuller, CCC-SLP
• Ximena Elizabeth Mejia
• Mind and Heart Counseling, PLC
• Vermont Natural Family Health
• Sarah Elizabeth Wylie, ND

• Mental Health Counselor in Salisbury, VT
• Providers in Salisbury, 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 Jan 16, 2021; 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.