William Plath
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bennington, VT
NPI 1780064014 · NPPES record last updated Jun 28, 2019
Key facts
- NPI
- 1780064014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 097-0134513 (VT)
- Practice address
- 100 Ledgehill Rd
Bennington, VT 05201 - Phone
- (802) 442-5491
- Fax
- (802) 442-3363
- NPI assigned
- Jun 2, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097-0134513 | VT | MD | Addiction (Substance Use Disorder) Counselor |
| 30794 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 30794 | NY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 097-0134513 | VT | Yes |
Addresses
Primary practice location
100 Ledgehill Rd
Bennington, VT 05201
Mailing address
100 Ledgehill Rd
Bennington, VT 05201-5200
Phone (802) 442-5491
Other practice location 1
1801 6th Ave
Troy, NY 12180-3440
Phone (518) 274-5143
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01420800 | Medicaid | NY |
Other providers in Bennington, VT
- Susan Lee Pierce
- Lawrence Joseph Pietrucha
- Katherine Tapp Piispanen
- Larissa Pitrat
- Planned Parenthood of Northern New England
- James George Poole
- Michael Thomas Porter
- Bernadette R. Potratz
- Victoria Potter
- Benjamin Prandini
All providers in Bennington, VT · Addiction (Substance Use Disorder) Counselor in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.