Evan Matthew Oppenheimer, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5354 Main St
Waitsfield, VT 05673-6003

Phone

(802) 583-1144

NPI assigned

Mar 18, 2021

Last updated

Mar 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Oppenheimer LLC

  dba Oppenheimer Counseling, Coaching and Guided Immersion Experiences

  • Mental Health Counselor
  • Waitsfield, VT
  • NPI 1568249837
  NPD Authorized official
• True North Wilderness Programs LLC

  dba True North Evolution

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Waitsfield, VT
  • NPI 1780913020
  NPD (past)

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1922684257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E WARREN RD",
            "city": "WAITSFIELD",
            "state": "VT",
            "postal_code": "056737310",
            "telephone_number": "516-359-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 MAIN ST",
            "city": "WAITSFIELD",
            "state": "VT",
            "postal_code": "056736003",
            "telephone_number": "802-583-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPENHEIMER",
        "first_name": "EVAN",
        "middle_name": "MATTHEW",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.truenorthwilderness.com",
            "affiliation": "Y",
            "affiliationName": "True North Wilderness Programs LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "5354 Main St",
            "city": "Waitsfield",
            "state": "VT",
            "country_code": "US",
            "postal_code": "056736003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Hawkley Mitchell, O.D.
• Sarah E Morrison, OTR/L
• Nancy Marie Smyth.
• New Age Chiropractic and Rehab PLLC
• Oppenheimer LLC (Oppenheimer Counseling, Coaching and Guided Immersion Experiences)
• Jessica Park
• Sarah R Pashby, PT
• Marian Petrides, MD
• Geoffrey G Regan, ATC, CSCS, PES
• Roberta C. Rood, Licsw

• Mental Health Counselor in Waitsfield, VT
• Providers in Waitsfield, 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 Mar 18, 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.