Jennelle Alvin, MS LCMHC LADC NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0117881 Issued in VT

Practice address

133 Elm St
Montpelier, VT 05602-3233

Phone

(802) 552-8622

NPI assigned

Feb 1, 2016

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• North Star Evolving Wellness

  • Mental Health Counselor
  • Montpelier, VT
  • NPI 1124618327

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1700244100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1075",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056011075",
            "telephone_number": "802-345-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ELM ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023233",
            "telephone_number": "802-552-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVIN",
        "first_name": "JENNELLE",
        "credential": "MS LCMHC LADC NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000700",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0117881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark J Adair, PHD
• Willow Aevery, MS
• Frangis Aliakbarkhani, PHARMD
• All Brains Belong VT Inc
• Jeffrey J Allen, M.A.C.P.
• Ampersand Counseling Services
• Helene V Amses, LCMHC
• Jada L. Anair
• Alison Cook Anderson, LICSW
• Michael Daniel Anderson III

• Mental Health Counselor in Montpelier, VT
• Providers in Montpelier, 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 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.