STEPHANIE L CHURCHILL (NPI# 1235195629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235195629 |
| Entity Type | Individual |
| Full Name | STEPHANIE L CHURCHILL |
| Credential | LMFT |
| Practice Address |
231 Concord Ave St Johnsbury VT 05819-1513 |
| Practice Telephone | 8027485364 |
| Practice Fax Number | 8027487289 |
| Mailing Telephone | 8027485364 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1000000044 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1012018 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370464 | Stephanie E Churchill | Speech-Language Pathologist | 203 Lothrop St, Pittsburgh, PA 15213-2548 | 2020-06-15 |
| Street Address |
231 CONCORD AVE |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235684101 | Complete Circle Counseling | Health Maintenance Organization | 231 Concord Ave, Suite 2, St Johnsbury, VT 05819-1513 | 2016-08-22 |
| 1386099059 | Riverbend Counseling Services, Pllc | Counselor | 231 Concord Ave, Ste 2, St Johnsbury, VT 05819-1513 | 2016-04-29 |
| 1790922151 | Connie L Kellogg | Counselor | 231 Concord Ave, Suite #3, St Johnsbury, VT 05819-1513 | 2009-01-07 |
| 1609880319 | Sara J Demetry | Social Worker | 231 Concord Ave, Suite #2, St Johnsbury, VT 05819 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978239 | Daniela M Caserta | Marriage & Family Therapist | 21 Merchant St, Barre, VT 05641-3871 | 2020-09-28 |
| 1831740109 | Robin Marie Allard | Marriage & Family Therapist | 617 Comstock Rd, Berlin, VT 05602-8294 | 2019-09-26 |
| 1265084230 | Suzanne Mancinelli | Marriage & Family Therapist | 252 Main St Ste 2, Montpelier, VT 05602-4201 | 2019-07-10 |
| 1356818389 | Yana Tallon-hicks | Marriage & Family Therapist | 167 Main St Ste 312, Brattleboro, VT 05301-3096 | 2018-10-29 |
| 1275993800 | Stephanie Chesnut | Marriage & Family Therapist | 298 Main Street, Burton House, Norwich Square, Norwich, VT 05055 | 2016-02-24 |
| 1003289414 | Denise Forkin | Marriage & Family Therapist | 127 Butternut Hill Dr, Guilford, VT 05301-9461 | 2015-11-06 |
| 1255684585 | Christian Dymond | Marriage & Family Therapist | 215 Hardscrabble Rd, Milton, VT 05468 | 2012-10-24 |
| 1437486586 | Emily Brooks | Marriage & Family Therapist | 65 N Main St Ste 8, Rutland, VT 05701-3252 | 2009-11-11 |
| 1427206101 | Kara Jean Marie Campbell | Marriage & Family Therapist | 215 Glen Road, Newport, VT 05855-5516 | 2008-09-05 |
| 1588831382 | Anie Sklar | Marriage & Family Therapist | 47 Court St, Middlebury, VT 05753-1454 | 2008-05-12 |
| Find all providers with the same taxonomy | ||||
| City | ST JOHNSBURY |
| Zip Code | 05819 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.