Active NPIIndividual providerSole proprietor

Jeremy J Vermilyea, LCMHC, LCPC, LADC

Counselor, Mental Health in Fairfax, Vermont

NPI Number1164013470
Practice location
38 Sandhill RD, Fairfax, VT 05454-9564
Fax
—
Last updated
December 4, 2023

Jeremy J Vermilyea is a Counselor, Mental Health based in Fairfax, VT. Jeremy J Vermilyea practices in Fairfax, VT and has the professional credentials of LCMHC, LCPC, LADC. The NPI Number for Jeremy J Vermilyea is 1164013470 and holds a License No. LC7047 (ME). The current practice location address for Jeremy J Vermilyea is 38 Sandhill RD, Fairfax, VT 05454-9564 and can be reached out via phone at 802-277-0317.

Provider Profile Details

NPI Number
1164013470
Provider Name
Jeremy J Vermilyea
Credential
LCMHC, LCPC, LADC
Provider Entity Type
Individual
Gender
Male
Address
38 Sandhill RD, Fairfax, VT 05454-9564
Phone Number
802-277-0317
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
January 29, 2021
Last Update Date
December 4, 2023
Certification Date
December 4, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
38 Sandhill RD
Fairfax, VT 05454-9564
State
Vermont
Zip
05454-9564
Phone Number
802-277-0317
Fairfax, VT 05454Get directions →

Provider Business Mailing Address Details

Address
38 Sandhill RD
Fairfax, VT 05454-9564
City
Fairfax
State
VT
Zip
05454-9564
Phone Number
802-277-0317

License Information

License Number (1)
LC7047
License State (1)
ME
License Number (2)
XL5231
License State (2)
ME
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
License Number (3)
068.0135309
License State (3)
VT
Taxonomy (3)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jeremy J Vermilyea, LCMHC, LCPC, LADC?

The NPI number of Jeremy J Vermilyea, LCMHC, LCPC, LADC is 1164013470. It was assigned on January 29, 2021 and is currently active in the NPPES registry.

What is the specialty of Jeremy J Vermilyea, LCMHC, LCPC, LADC?

Jeremy J Vermilyea, LCMHC, LCPC, LADC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in ME under license number LC7047.

Where does Jeremy J Vermilyea, LCMHC, LCPC, LADC practice?

The practice location is 38 Sandhill RD, Fairfax, VT 05454-9564. The office can be reached at 802-277-0317 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164013470 directly on the NPPES registry website.

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