Joanna Helene Jerose, MSW, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

151.0127654 Issued in VT

Practice address

27 Rye Cir
South Burlington, VT 05403-7632

Phone

(802) 654-7607

Fax

(802) 654-9155

NPI assigned

May 30, 2023

Last updated

Jul 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1821781410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 PUMPKIN VILLAGE RD",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "054505577",
            "telephone_number": "802-782-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 RYE CIR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037632",
            "telephone_number": "802-654-7607",
            "fax_number": "802-654-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROSE",
        "first_name": "JOANNA",
        "middle_name": "HELENE",
        "credential": "MSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151.0127654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Addiction (Substance Use Disorder) Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.