Individual provider Active NPI

Andrea Alli, LADC LCMHC

  • Mental Health Counselor
  • North Bennington, VT
National Provider Identifier
1871093104
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0134198 Issued in VT
Practice address
5 Bank St
North Bennington, VT 05257-9102
Phone
(802) 392-9979
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0134198 VT Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 151-0133423 VT

Addresses

Primary practice location

5 Bank St
North Bennington, VT 05257-9102

Mailing address

88 Southshire Dr
Bennington, VT 05201-9139
Phone (857) 284-6654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
151-0133423VTMDAddiction (Substance Use Disorder) Counselor
068.0134198VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea J Alli Counseling PLLC Addiction (Substance Use Disorder) CurrentSince Oct 30, 2022 Accepting new patients
Howard Center Inc Past Accepting new patients
Howard Center Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1871093104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 SOUTHSHIRE DR",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052019139",
            "telephone_number": "857-284-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BANK ST",
            "city": "NORTH BENNINGTON",
            "state": "VT",
            "postal_code": "052579102",
            "telephone_number": "802-392-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLI",
        "first_name": "ANDREA",
        "credential": "LADC LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134198",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151-0133423",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bennington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.