Active NPIIndividual provider

Andrea Reynolds, MA, LCMHC, LADC

Counselor, Mental Health in Winooski, Vermont

NPI Number1578079166
Practice location
108 Dion St, Winooski, VT 05404
Fax
—
Last updated
June 3, 2018

Andrea Reynolds is a Counselor, Mental Health based in Winooski, VT. Andrea Reynolds practices in Winooski, VT and has the professional credentials of MA, LCMHC, LADC. The NPI Number for Andrea Reynolds is 1578079166 and holds a License No. 068.0117987 (VT). The current practice location address for Andrea Reynolds is 108 Dion St, Winooski, VT 05404 and can be reached out via phone at 518-221-7227.

Provider Profile Details

NPI Number
1578079166
Provider Name
Andrea Reynolds
Credential
MA, LCMHC, LADC
Provider Entity Type
Individual
Gender
Female
Address
108 Dion St, Winooski, VT 05404
Phone Number
518-221-7227
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Other Names
Andrea Palkovic (Former Name)
Provider Enumeration Date
December 19, 2017
Last Update Date
June 3, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
108 Dion St
Winooski, VT 05404
State
Vermont
Zip
05404
Phone Number
518-221-7227
Winooski, VT 05404Get directions →

Provider Business Mailing Address Details

Address
108 Dion St
Winooski, VT 05404-1517
City
Winooski
State
VT
Zip
05404-1517
Phone Number
518-221-7227

License Information

License Number
068.0117987
License State
VT
Taxonomy
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 Andrea Reynolds, MA, LCMHC, LADC?

The NPI number of Andrea Reynolds, MA, LCMHC, LADC is 1578079166. It was assigned on December 19, 2017 and is currently active in the NPPES registry.

What is the specialty of Andrea Reynolds, MA, LCMHC, LADC?

Andrea Reynolds, MA, LCMHC, LADC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 068.0117987.

Where does Andrea Reynolds, MA, LCMHC, LADC practice?

The practice location is 108 Dion St, Winooski, VT 05404. The office can be reached at 518-221-7227 (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 1578079166 directly on the NPPES registry website.

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