Jared Daniel Katz, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068-0000657 Issued in VT

Practice address

20 W Canal St Ste C8
Winooski, VT 05404-2147

Phone

(802) 343-4102

Fax

(802) 497-2191

NPI assigned

Nov 15, 2006

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 18, 2024 through Mar 18, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1851463574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W CANAL ST STE C8",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054042147",
            "telephone_number": "802-343-4102",
            "fax_number": "802-497-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W CANAL ST STE C8",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054042147",
            "telephone_number": "802-343-4102",
            "fax_number": "802-497-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JARED",
        "middle_name": "DANIEL",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011401",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Brooke Johnson
• Jonathan E. Fenton D.O., P.C.
• Tara L Jones, M.T.
• John Joy, PHARMACIST
• Ari J Karas, MA, LMFT
• Mary E Kegelman, DNP, FNP-BC
• Morgan Martha E Kelner, SLP CCC
• Anne Minor Knott, M.D.
• Irene Koplinka-Loehr, MD
• Hannah Kretvix, LADC

• Mental Health Counselor in Winooski, VT
• Providers in Winooski, 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 30, 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.