Active NPI
Carolyn A Prescott
- Addiction (Substance Use Disorder) Counselor
- Rutland, VT
National Provider Identifier
1760693840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 000195
- Practice address
- 56 And One Half Merchants Row
Suite 320
Rutland, VT 05701 - Phone
- (802) 747-0655
- NPI assigned
- May 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000195 | VT | Primary |
Addresses
Primary practice location
56 And One Half Merchants Row
Suite 320
Rutland, VT 05701
Mailing address
56 And One Half Merchants Row
Suite 320
Rutland, VT 05701
Phone (802) 747-0655
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18486 | Other | VT | BLUE CROSS BLUE SHIELD |
| 54150 | Other | VT | CIGNA |
| 353353 | Other | VT | MVP |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000195 | VT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760693840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 AND ONE HALF MERCHANTS ROW",
"address_2": "SUITE 320",
"city": "RUTLAND",
"state": "VT",
"postal_code": "05701",
"telephone_number": "802-747-0655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 AND ONE HALF MERCHANTS ROW",
"address_2": "SUITE 320",
"city": "RUTLAND",
"state": "VT",
"postal_code": "05701",
"telephone_number": "802-747-0655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESCOTT",
"first_name": "CAROLYN",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VT",
"license": "000195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "18486",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "54150",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "353353",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.