Individual provider Active NPI

Avery Grey, MA

  • Mental Health Counselor
  • Burlington, VT
National Provider Identifier
1902477409
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
097.0134186 Issued in VT
Practice address
86 Saint Paul St Ste 201
Burlington, VT 05401-4958
Phone
(802) 526-4492
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 097.0134186 VT Primary

Addresses

Primary practice location

86 Saint Paul St Ste 201
Burlington, VT 05401-4958

Mailing address

86 Saint Paul St Ste 201
Burlington, VT 05401-4958

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address averygrey@counselingmail.com Direct

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
097.0134186VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1902477409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 SAINT PAUL ST STE 201",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 SAINT PAUL ST STE 201",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014958",
            "telephone_number": "802-526-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREY",
        "first_name": "AVERY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "097.0134186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "averygrey@counselingmail.com",
            "affiliation": "N",
            "endpointDescription": "Secure email and document service",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "86 Saint Paul St Ste 201",
            "city": "Burlington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054014958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.