Individual provider Active NPI

Rose M Mylott, LADC, LCMHC

  • Addiction (Substance Use Disorder) Counselor
  • Rutland, VT
National Provider Identifier
1760879191
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000618 Issued in VT
Practice address
14 Charter Hill Dr
Rutland, VT 05701-3750
Phone
(802) 768-1279
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068-0120531 VT
Addiction (Substance Use Disorder) Counselor 101YA0400X 000618 VT Primary

Addresses

Primary practice location

14 Charter Hill Dr
Rutland, VT 05701-3750

Mailing address

14 Charter Hill Dr
Rutland, VT 05701-3750
Phone (802) 768-1279

Other practice location 1

100 Ledgehill Rd
Bennington, VT 05201-2273
Phone (802) 442-5491

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
I20240102000680 VT Practitioner - Mental Health Counselor 9638529753 Practice locations: Rutland, VT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14 Charter Hill Dr
Rutland, VT 05701-3750
Phone (802) 768-1279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000618VTMDAddiction (Substance Use Disorder) Counselor
068-0120531VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1760879191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CHARTER HILL DR",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013750",
            "telephone_number": "802-768-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CHARTER HILL DR",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013750",
            "telephone_number": "802-768-1279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Ledgehill Rd",
            "address_purpose": "LOCATION",
            "city": "Bennington",
            "state": "VT",
            "postal_code": "052012273",
            "country_code": "US",
            "telephone_number": "802-442-5491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYLOTT",
        "first_name": "ROSE",
        "middle_name": "M",
        "credential": "LADC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0120531",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.