MR. CHANON WATTERS (NPI# 1750751624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750751624 |
| Entity Type | Individual |
| Full Name | MR. CHANON WATTERS |
| Credential | LCMHC, LADC |
| Practice Address |
86 Lake St Burlington VT 05401-5297 |
| Practice Telephone | 8027341786 |
| Mailing Telephone | 8027341786 |
| Enumeration Date | 2015-10-04 |
| Last Update Date | 2015-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000588 | VT | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
068.0100521 | VT | Behavioral Health & Social Service Providers |
| Street Address |
86 LAKE ST |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-5297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225025588 | Barbara Jean Benton | Counselor | 86 Lake St, Burlington, VT 05401-5297 | 2005-10-03 |
| 1356988828 | Jennifer Brennan, Aprn, Pllc | Nurse Practitioner | 86 Lake St, Burlington, VT 05401-5297 | 2019-12-04 |
| 1821515685 | Amy Siegel Licsw LLC | Social Worker | 86 Lake St, Burlington, VT 05401-5297 | 2017-08-23 |
| 1851848204 | Jessica Webster | Counselor | 86 Lake St, Burlington, VT 05401-5297 | 2016-09-01 |
| 1023414109 | Kendra Marceau | Counselor | 86 Lake St, Burlington, VT 05401-5297 | 2014-11-17 |
| 1558612853 | Alexandrea Josephine Forward | Counselor | 86 Lake St, Burlington, VT 05401-5297 | 2012-09-26 |
| 1831457407 | Veena Raju | Psychiatry & Neurology | 86 Lake St, Burlington, VT 05401-5297 | 2012-05-02 |
| 1871882282 | Francis Clinton Pasley | Psychiatry & Neurology | 86 Lake St, Burlington, VT 05401-5297 | 2011-04-06 |
| 1528365160 | Patrick B. Kinner | Counselor | 86 Lake St, Burlington, VT 05401-5297 | 2011-02-17 |
| 1841595915 | William Schubart | Social Worker | 86 Lake St, Burlington, VT 05401-5297 | 2011-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950984 | Keith Edward Smith | Counselor | 288 Flynn Ave Apt 26, Burlington, VT 05401-5370 | 2020-07-29 |
| 1528677325 | Gavin B Chadwell | Counselor | 337 College St Ste G, Burlington, VT 05401-8344 | 2020-07-28 |
| 1407473549 | Christine Borzumato-gainey | Counselor | 3643 Liberty Dr, Burlington, NC 27215-9387 | 2020-07-05 |
| 1669096434 | Callie Douglass | Counselor | 337 College St, Burlington, VT 05401-8344 | 2020-06-08 |
| 1144870742 | Amy Cronin | Counselor | 20 Oak St Apt 2, Burlington, VT 05401-2828 | 2019-09-16 |
| 1760948251 | Path Integrated Healthcare | Counselor | 125 College St Ste 300, Burlington, VT 05401-8444 | 2019-02-20 |
| 1255800082 | William Hayes Davenport | Counselor | 269 Pearl St Ste 4, Burlington, VT 05401-8536 | 2018-11-22 |
| 1821574443 | Dana Rochelle Hays | Counselor | 6272 Woodcrest Dr, Burlington, KY 41005-8444 | 2018-07-17 |
| 1265937650 | Jennifer L Kerns | Counselor | 269 Pearl St Ste 3, Burlington, VT 05401-8536 | 2018-03-27 |
| 1205335130 | Lynn Ruth Martin | Counselor | 130 Mansfield Ave Apt 201, Burlington, VT 05401-3396 | 2018-02-06 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on MR. CHANON WATTERS.
| 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.