VERMONT CENTER FOR INTEGRATIVE THERAPY, LLC (NPI# 1497078695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497078695 |
| Entity Type | Organization |
| Organization Name | VERMONT CENTER FOR INTEGRATIVE THERAPY, LLC |
| Practice Address |
364 Dorset St Suite 204 South Burlington VT 05403-6270 |
| Practice Telephone | 8026589440 |
| Practice Fax Number | 8026589443 |
| Mailing Telephone | 8026589440 |
| Mailing Fax Number | 8026589443 |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2012-07-05 |
| Authorized Official Name | CHRISTINE E RUSHFORTH (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8026589440 |
| Authorized Official Credential | MACP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | VERMONT CENTER FOR INTEGRATIVE THERAPY, LLC | 75 San Remo Dr, 204, S. Burlington, VT 05403 |
| Street Address |
364 DORSET ST SUITE 204 |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-6270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386609253 | Champlain Valley Cardiovascular Associates, PC | Internal Medicine | 364 Dorset St, Suite 1, South Burlington, VT 05403-6270 | 2006-04-20 |
| 1194093336 | Christopher Wright Cronin | Counselor | 364 Dorset St, 204, South Burlington, VT 05403-6270 | 2011-12-02 |
| 1386893683 | Gillian Boudreau | Counselor | 364 Dorset St, Suite 212, South Burlington, VT 05403-6270 | 2008-09-11 |
| 1740460740 | Anne M Goldman | Social Worker | 364 Dorset St, Suite 204, South Burlington, VT 05403-6270 | 2007-11-07 |
| 1225221351 | Robert D Gordon Md Professional Corp | Dermatology | 364 Dorset St, Suite 204, South Burlington, VT 05403-6270 | 2007-08-22 |
| 1275632267 | Joseph F Winget | Specialist | 364 Dorset St, Suite 1, South Burlington, VT 05403-6270 | 2006-09-22 |
| 1831207166 | Candis Joan Cousins | Physician Assistant | 364 Dorset St, Ste 2, South Burlington, VT 05403-6270 | 2006-08-28 |
| 1821056912 | Steffen Hillemann | Specialist | 364 Dorset St, Suite 1, South Burlington, VT 05403-6270 | 2006-05-01 |
| 1922066026 | Walter D Gundel | Specialist | 364 Dorset St, Suite1, South Burlington, VT 05403-6270 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938975 | Josee-ann Guay | Student in an Organized Health Care Education/Training Program | 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 | 2019-05-22 |
| 1821556390 | Alexander Taite Carpenter | Specialist/Technologist | 2069 Williston Road Ap #2, South Burlington, VT 05403 | 2019-03-04 |
| 1144732785 | Molly Koch Parker | Dietitian, Registered | 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 | 2017-11-03 |
| 1497273007 | Marlena Anya Pecora | Acupuncturist | 368 Dorset St # 3, South Burlington, VT 05403 | 2017-09-03 |
| 1467908525 | Rinaben P Patel | Pharmacist | 39 Hinesburd Road, South Burlington, VT 05403 | 2016-08-29 |
| 1770949950 | Tara Flor | Chiropractor | 30 Farrell St Ste 100, South Burlington, VT 05403 | 2016-01-04 |
| 1356716187 | Frank Breen | Counselor | 163 Hinesburg Road, South Burlington, VT 05403 | 2015-12-04 |
| 1063808210 | Lisa C Harrington | Registered Nurse | Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 | 2015-04-14 |
| 1083018626 | Jessica Jablonski | Speech-Language Pathologist | 2 Baldwin Ave, South Burlington, VT 05403 | 2014-10-10 |
| 1538590567 | Vasta Physical Therapy, Inc | Physical Therapist | 340 Dorset Street, Suite 2, South Burlington, VT 05403 | 2013-12-02 |
| Find all providers in zip 05403 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669098737 | Ari Shapiro-miller | Counselor | 68 Finch Ct, South Burlington, VT 05403-7570 | 2020-06-24 |
| 1497235139 | Levitate Lifestyle LLC | Counselor | 1233 Shelburne Rd Ste 120, South Burlington, VT 05403-7761 | 2018-08-21 |
| 1366931412 | Amy Caldwell | Counselor | 49 Mcintosh Ave, South Burlington, VT 05403-7375 | 2018-05-04 |
| 1871047233 | Angela Arigo | Counselor | 54 W Twin Oaks Ter Ste 2, South Burlington, VT 05403-7140 | 2016-08-15 |
| 1487031589 | Jessica Mccloud | Counselor | 8 Keari Ln, South Burlington, VT 05403-7851 | 2015-04-28 |
| 1053687608 | Amy Yvonne Poland | Counselor | 364 Dorset Street, Suite 204, South Burlington, VT 05403 | 2012-03-28 |
| 1417241936 | Kristen Ann Johanson | Counselor | 364 Dorset St Ste 212, South Burlington, VT 05403-6272 | 2011-06-01 |
| 1336476266 | Taryn Julia Austin | Counselor | 246 Cobblestone Cir, South Burlington, VT 05403-7614 | 2009-11-13 |
| 1730413832 | Thomas Jk Fontana | Counselor | 5 Woodbine St, South Burlington, VT 05403 | 2009-09-23 |
| 1386871275 | Sarah E Sears | Counselor | 31 Patchen Rd, South Burlington, VT 05403-5705 | 2009-06-17 |
| Find all providers in SOUTH BURLINGTON | ||||
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
Please comment or provide details below to improve the information on VERMONT CENTER FOR INTEGRATIVE THERAPY, LLC.
| 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.