Individual provider Active NPI

Emily Thurber, LCMHC, LADC

  • Mental Health Counselor
  • South Burlington, VT
National Provider Identifier
1881937167
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0077482 Issued in VT
Practice address
34 Patchen Rd
South Burlington, VT 05403-5704
Phone
(802) 735-5567
NPI assigned
Apr 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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 068.0077482 VT Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000632 VT

Addresses

Primary practice location

34 Patchen Rd
South Burlington, VT 05403-5704

Mailing address

34 Patchen Rd
South Burlington, VT 05403-5704
Phone (802) 735-5567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311003920 VT Practitioner - Mental Health Counselor 5294171344 Practice locations: Middlebury, VT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

228 Maple St
Middlebury, VT 05753-1606
Phone (802) 735-5567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000632VTMDAddiction (Substance Use Disorder) Counselor
068.0077482VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1881937167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PATCHEN RD",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054035704",
            "telephone_number": "802-735-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PATCHEN RD",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054035704",
            "telephone_number": "802-735-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURBER",
        "first_name": "EMILY",
        "credential": "LCMHC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0077482",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.