Individual provider Active NPI

Eleanor M Morrissey, LCMHC

  • Mental Health Counselor
  • Hyde Park, VT
National Provider Identifier
1801957469
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0680000235 Issued in VT
Practice address
111 Main St
Hyde Park, VT 05655-0159
Phone
(802) 888-6215
Fax
(802) 888-9474
NPI assigned
Dec 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0680000235 VT Primary

Addresses

Primary practice location

111 Main St
Hyde Park, VT 05655-0159

Mailing address

PO Box 159
111 Main St
Hyde Park, VT 05655-0159
Phone (802) 888-6215

Other identifiers 1

IdentifierTypeStateIssuer
1006765MedicaidVT

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

LicenseStateTypeSpecialty
0680000235VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801957469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "address_2": "111 MAIN ST",
            "city": "HYDE PARK",
            "state": "VT",
            "postal_code": "056550159",
            "telephone_number": "802-888-6215",
            "fax_number": "802-888-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MAIN ST",
            "city": "HYDE PARK",
            "state": "VT",
            "postal_code": "056550159",
            "telephone_number": "802-888-6215",
            "fax_number": "802-888-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISSEY",
        "first_name": "ELEANOR",
        "middle_name": "M",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680000235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006765",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, 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.

Verify at the official NPI Registry.