Avery McCoy Gardner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

097.0136418 Issued in VT

Practice address

1233 Shelburne Rd Ste 203
South Burlington, VT 05403-7733

Phone

(802) 391-0704

NPI assigned

May 23, 2025

Last updated

May 23, 2025By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1912790916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WEST ST APT A",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041775",
            "telephone_number": "609-661-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SHELBURNE RD STE 203",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037733",
            "telephone_number": "802-391-0704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 West St Apt A",
            "address_purpose": "LOCATION",
            "city": "Winooski",
            "state": "VT",
            "postal_code": "054041775",
            "country_code": "US",
            "telephone_number": "802-391-0704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "AVERY",
        "middle_name": "MCCOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2406382",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "097.0136418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Frerich, PT, DPT
• Bradley T Friesen, M.D.
• Mary E Gados, MSPT
• Kristina Gagnon, RN
• Emily Macleod Garcia, APRN, WHNP
• Rachel M Garnett, MA
• Abby Gelfer, MSW
• Jill Marie Geoffrion, PA-C
• Derek Andrew George, LICSW, LADC
• Kathryn R George, APRN-BC

• Mental Health Counselor in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.