Anthony Grudin, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0136322 Issued in VT

Practice address

22 Rockland St
Burlington, VT 05408-1118

Phone

(802) 324-9251

NPI assigned

Dec 17, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 18, 2025 through Feb 18, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anthony Grudin Ma LLC

  • Mental Health Counselor
  • Burlington, VT
  • NPI 1801603451
  NPD Authorized official

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1821805474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ROCKLAND ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054081118",
            "telephone_number": "802-324-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ROCKLAND ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054081118",
            "telephone_number": "802-324-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUDIN",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0136322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia S Grondin, MD
• Janice Marie Groschen, CRNA
• Stephen Lynn Groschen, CRNA
• Lindsey C Grove, PH.D.
• Lisa Grove
• Richard T Grunert, MD
• Anne Guarino
• Mitchell Guerin, MD
• Ian Guertin
• Ann P. Guillot, M.D.

• Mental Health Counselor in Burlington, VT
• Providers in Burlington, 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 Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.