Patricia L Marshall, MS, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

000499 Issued in VT

Practice address

179 Main Street
#4
Hyde Park, VT 05655

Phone

(802) 279-1631

Fax

(802) 851-1141

NPI assigned

Sep 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1902113285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "address_2": "179 MAIN STREET #4",
            "city": "HYDE PARK",
            "state": "VT",
            "postal_code": "05655",
            "telephone_number": "802-279-1631",
            "fax_number": "802-851-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 MAIN STREET",
            "address_2": "#4",
            "city": "HYDE PARK",
            "state": "VT",
            "postal_code": "05655",
            "telephone_number": "802-279-1631",
            "fax_number": "802-851-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "credential": "MS, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000499",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VT",
            "license": "000499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Kyle Imhoff, LCMHC
• Haley Woodside Jiron, MS COUNSELING
• Lamoille North Supervisory Union
• Lamoille Restorative Center
• Patricia Joann Long, LCMHC
• Susan A. Moore, MS CCC/SLP
• Eleanor M Morrissey, LCMHC
• Stacey Moulton
• Mari Nazzaro
• Jessyca Corey Nelle, LCMHC

• Addiction (Substance Use Disorder) Counselor in Hyde Park, VT
• Providers in Hyde Park, VT by specialty
• Addiction (Substance Use Disorder) Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.