Frederic Gluck, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

72 Harrel Street
Morrisville, VT 05661

Phone

(802) 888-5026

Fax

(802) 888-6393

NPI assigned

May 23, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Lamoille County Mental Health ServicesGroup PAC ID 4688742893, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Lamoille County Mental Health Services

  • Community/Behavioral Health Agency
  • Morrisville, VT
  • NPI 1396891842
  Medicare reassignment Care Compare group NPD
• Lamoille County Health Mental Health Services

  • Community/Behavioral Health Agency
  • Morrisville, VT
  • NPI 1144347824
  NPD (past)

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1770930422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 HARREL STREET",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "05661",
            "telephone_number": "802-888-5026",
            "fax_number": "802-888-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 HARREL STREET",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "05661",
            "telephone_number": "802-888-5026",
            "fax_number": "802-888-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUCK",
        "first_name": "FREDERIC",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCMHC",
            "identifier": "068.0079910",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary L Waring, MD
• Nivedita Gautam, BDS, MPH, DPH
• Susan C. Geer, LICSW
• Genoa Healthcare LLC
• Gary L. Gillen, M.D.
• Abbigail Grant, PA-C
• Green Mountain Birth Center, Inc
• Green Mountain Eye Care PC
• Green Mountain General Surgery PC
• Green Mountain Holistic Healing PLC

• Mental Health Counselor in Morrisville, VT
• Providers in Morrisville, 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 May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.