Active NPI
Matthew D Macneil, LCMHC
- Mental Health Counselor
- Burlington, VT
National Provider Identifier
1992946636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068-000763
- Practice address
- 1138 Pine St
Burlington, VT 05401-5353 - Phone
- (802) 488-6000
- Fax
- (802) 488-6919
- NPI assigned
- Mar 10, 2009
- Sex
- Male
- 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 | 068-000763 | VT | Primary |
Addresses
Primary practice location
1138 Pine St
Burlington, VT 05401-5353
Mailing address
102 S Winooski Ave
Burlington, VT 05401-7406
Phone (802) 488-6920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240126001375 | VT | Practitioner - Mental Health Counselor | 2466805320 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068-000763 | VT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard Center Inc | Current | Accepting new patients | |
| Howard Center Inc | Current | Accepting new patients | |
| Howard Center Inc | Current | Accepting new patients |
Locations
208 Flynn Ave
Ste 3J
Burlington, VT 05401
Phone (802) 488-6900
1138 Pine St
Burlington, VT 05401
Phone (802) 488-6600
102 S Winooski Ave
Burlington, VT 05401
Phone (802) 488-6920
300 Flynn Ave
Burlington, VT 05401
Phone (802) 488-6934
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Burlington, VT
- NPI 1639267404
VT
-
- State or Local Public Health Clinic/Center
- Burlington, VT
- NPI 1124292529
-
- Methadone Clinic
- Burlington, VT
- NPI 1134346687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1992946636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 S WINOOSKI AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054017406",
"telephone_number": "802-488-6920",
"fax_number": "802-488-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1138 PINE ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054015353",
"telephone_number": "802-488-6000",
"fax_number": "802-488-6919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACNEIL",
"first_name": "MATTHEW",
"middle_name": "D",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-10",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068-000763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.