Sally Edith PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068-0000456 Issued in VT

Legal business name

SALLY EDITH PC

Practice address

35 Timber Lane
South Burlington, VT 05403

Phone

(802) 651-7566

Fax

(802) 860-3613

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sally Edith, LMHC

Title

LMHC

Phone

(803) 651-7566

Specialties & licenses 1

Addresses

Other names 1

• SallySEdith LMHC Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Macy Goodman, M.A., M.S.

  • Psychologist
  • South Burlington, VT
  • NPI 1154418663
  NPD (past)
• Betty Jo Morwood, M.D.

  • Psychiatry Physician
  • South Burlington, VT
  • NPI 1518914332
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861585382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TIMBER LANE",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-651-7566",
            "fax_number": "802-860-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TIMBER LANE",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-651-7566",
            "fax_number": "802-860-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY EDITH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDITH",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "803-651-7566",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SallySEdith LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Deanna Ryerson
• S-Smith-Counseling PLLC
• Alexis Brooke Saaman, PA-C
• Erica Sacco, MSW
• Thomas Sacco, LCMHC
• Samuel R. Stoyak, M.D., PLC
• Paul M Samuel, D.C.
• Sand Bar Homecare LLC (Visiting Angels of Burlington)
• Marie Sandoval, MD
• Sandrock Counseling LLC

• Mental Health Counselor in South Burlington, VT
• Providers in South 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 Aug 22, 2020; 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.