Active NPI
Kathryn L Sherman, LCMHC
- Mental Health Counselor
- Burlington, VT
National Provider Identifier
1912248337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068-0120264
- Practice address
- 187 Saint Paul St Ste 101
Burlington, VT 05401-4689 - Phone
- (802) 734-9153
- NPI assigned
- Mar 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068-0120264 | VT | Primary |
Addresses
Primary practice location
187 Saint Paul St Ste 101
Burlington, VT 05401-4689
Mailing address
31 Elsom Pkwy
South Burlington, VT 05403-6606
Phone (508) 269-8744
Other practice location 1
460 Quincy Ave
Quincy, MA 02169-8130
Phone (617) 847-1950
Other practice location 2
1138 Pine St
Burlington, VT 05401-5353
Phone (802) 488-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1035885 | Medicaid | VT |
Other names 1
- Kathryn L Garneau
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 16, 2024 through Jan 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068-0120264 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1912248337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 ELSOM PKWY",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054036606",
"telephone_number": "508-269-8744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 SAINT PAUL ST STE 101",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054014689",
"telephone_number": "802-734-9153"
}
],
"practiceLocations": [
{
"address_1": "460 Quincy Ave",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021698130",
"country_code": "US",
"telephone_number": "617-847-1950",
"fax_number": "617-774-1490",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1138 Pine St",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054015353",
"country_code": "US",
"telephone_number": "802-488-6000",
"fax_number": "802-488-6919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHERMAN",
"first_name": "KATHRYN",
"middle_name": "L",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-11",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068-0120264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1035885",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "GARNEAU",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}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 Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.