Individual provider Active NPI

Elizabeth Cotter Ehrich, MSW

  • Mental Health Counselor
  • Arlington, VT
National Provider Identifier
1720009731
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0890000615 Issued in VT
Practice address
21 Tory LN
Arlington, VT 05250-8978
Phone
(802) 282-3302
Fax
(802) 375-6110
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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 0890000615 VT Primary

Addresses

Primary practice location

21 Tory LN
Arlington, VT 05250-8978

Mailing address

21 Tory LN
Arlington, VT 05250-8978
Phone (802) 282-3302

Other identifiers 7

IdentifierTypeStateIssuer
185932000OtherVTMAGELLAN
NE6362OtherVTEMPIRE BLUE CROSS BLUE SH
1006776MedicaidVT
1035699OtherVTCIGNA
25303OtherVTEMPLOYEE BENEFIT SERVICE
29576OtherVTBLUE CROSS BLUE SHIELD
965188OtherVTMVP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Health Systems P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1720009731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TORY LN",
            "city": "ARLINGTON",
            "state": "VT",
            "postal_code": "052508978",
            "telephone_number": "802-282-3302",
            "fax_number": "802-375-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TORY LN",
            "city": "ARLINGTON",
            "state": "VT",
            "postal_code": "052508978",
            "telephone_number": "802-282-3302",
            "fax_number": "802-375-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRICH",
        "first_name": "ELIZABETH",
        "middle_name": "COTTER",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0890000615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "185932000",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "NE6362",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006776",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1035699",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE BENEFIT SERVICE",
            "identifier": "25303",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "29576",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "965188",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.