Individual provider Active NPI

Rose M Sheehan, LADC

  • Counselor
  • Lyndonville, VT
National Provider Identifier
1891079752
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
000553 Issued in VT
Practice address
195 Industrial Parkway
Lyndonville, VT 05851
Phone
(802) 748-9501
Fax
(802) 748-3420
NPI assigned
Oct 10, 2011
Last updated
Feb 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 000553 VT Primary

Addresses

Primary practice location

195 Industrial Parkway
Lyndonville, VT 05851

Mailing address

PO Box 905
St Johnsbury, VT 05819-0905
Phone (802) 748-8141

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
I20241011000469 VT Practitioner - Mental Health Counselor 0547792855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

St Johnsbury, VT 05819
Phone (802) 535-9814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000553VTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Counseling & Consulting LLC CurrentSince Aug 18, 2024 Accepting new patients

Locations

1129 Main St
St Johnsbury, VT 05819
Phone (802) 535-9814

Organizations & group practices 1

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": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1891079752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058190905",
            "telephone_number": "802-748-8141",
            "fax_number": "802-748-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 INDUSTRIAL PARKWAY",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "05851",
            "telephone_number": "802-748-9501",
            "fax_number": "802-748-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "ROSE",
        "middle_name": "M",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VT",
            "license": "000553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndonville, VT

Sources for this page

Verify at the official NPI Registry.