Tamara Swayne, LCMHC
Individual provider Active NPI Mental Health Counselor · Brattleboro, VT
NPI 1962835272 · NPPES record last updated Aug 11, 2013
Key facts
- NPI
- 1962835272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 068.0072591 (VT)
- Practice address
- 31 Frog HL
Brattleboro, VT 05301-4410 - Phone
- (603) 852-0799
- NPI assigned
- Aug 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240727000304 | VT | Practitioner - Mental Health Counselor | 5799221677 | Practice locations: West Brattleboro, VT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068.0072591 | VT | Yes |
Addresses
Primary practice location
31 Frog HL
Brattleboro, VT 05301-4410
Mailing address
PO Box 718
Brattleboro, VT 05302-0718
Phone (603) 852-0799
NPI Registry JSON
{
"created_epoch": "1376179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376179200000",
"number": "1962835272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 718",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053020718",
"telephone_number": "603-852-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 FROG HL",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053014410",
"telephone_number": "603-852-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAYNE",
"first_name": "TAMARA",
"name_prefix": "Ms.",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-11",
"last_updated": "2013-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068.0072591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brattleboro, VT
- Martha B. Straus
- Judith A Strom
- Linda Kathleen Strom
- Joyce Ann Sullivan
- Desiree Svegliati
- Mahdi Taebi-Harandy
- Tall Trees Associates
- Lisa M Tallin
- Yana Tallon-Hicks
- Jessica Tamulonis
All providers in Brattleboro, VT · Mental Health Counselor in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.