Individual provider Active NPI

Sarah G. Bradley, M.S., LCMHC

  • Mental Health Counselor
  • South Burlington, VT
National Provider Identifier
1720450471
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0101001 Issued in VT
Practice address
45 San Remo Dr
South Burlington, VT 05403-6312
Phone
(802) 662-4332
NPI assigned
Oct 21, 2015
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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 068.0101001 VT Primary

Addresses

Primary practice location

45 San Remo Dr
South Burlington, VT 05403-6312

Mailing address

3430 Mountain Rd
Stowe, VT 05672-4800
Phone (802) 858-5656

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
I20250402003255 VT Practitioner - Mental Health Counselor 5799208427 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
068.0101001VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bradley, PLC Mental Health CurrentSince May 1, 2022 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Mar 1, 2025 Accepting new patients

Locations

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

462 Hegeman Ave
Ste 100
Colchester, VT 05446
Phone (802) 489-7235

45 San Remo Dr
South Burlington, VT 05403
Phone (802) 233-1527

3430 Mountain Rd
Stowe, VT 05672
Phone (802) 578-6102

Interoperability endpoints

  • Direct secure messaging: etoto611275@direct.uvmhealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1720450471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 MOUNTAIN RD",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056724800",
            "telephone_number": "802-858-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SAN REMO DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036312",
            "telephone_number": "802-662-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SARAH",
        "middle_name": "G.",
        "credential": "M.S., LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0101001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.