Elizabeth H. Ungerleider, MA
Individual provider Active NPI Professional Counselor · Brattleboro, VT
NPI 1831861244 · NPPES record last updated Oct 4, 2021
Key facts
- NPI
- 1831861244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 097.0001134 (VT)
- Practice address
- 51 Fairview Street
Brattleboro, VT 05301-6629 - Phone
- (802) 254-6028
- Fax
- (802) 254-7501
- NPI assigned
- Oct 4, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097.0001134 | VT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care and Rehabilitation Services of Southeastern Vermont, Inc. | Past |
Accepting new patients | |
| Health Care and Rehabilitation Services of Southeastern Vermont, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 097.0001134 | VT | Yes |
Addresses
Primary practice location
51 Fairview Street
Brattleboro, VT 05301-6629
Mailing address
390 River Street
Springfield, VT 05156-2226
Phone (802) 886-4500
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All providers in Brattleboro, VT · Professional 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 Oct 4, 2021. 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.