Holly Dale Hauser, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

089-0000942 Issued in VT

Practice address

148 College Street
Suite 303
Burlington, VT 05401

Phone

(802) 861-2318

NPI assigned

Nov 29, 2007

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

Other identifiers 1

Other names 1

• Holly Dale Hauser Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1831371053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CUMBERLAND RD",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054082466",
            "telephone_number": "802-658-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 COLLEGE STREET",
            "address_2": "SUITE 303",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-861-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSER",
        "first_name": "HOLLY",
        "middle_name": "DALE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "089-0000942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009457",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "HAUSER",
            "middle_name": "DALE",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Benjamin Hastings
• Camdyn Hastings, COTA
• Tyler Hastings, MD
• Kimberly Hatgen, LADC
• Skylar Haugenes
• Kelly Mandigo Haven, RN, CDCES
• Annika Hawkins-Hilke, NP
• Sasha Hawkins
• Robin Rickey Hayden, APRN, BC
• Terrence M Hayden, LICSW

• 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 Apr 14, 2010; 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.