Michael Sheppard, LCMHC | |
1 S Prospect St, Burlington, VT 05401-3456 | |
(802) 847-1426 | |
(802) 847-1424 |
Full Name | Michael Sheppard |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1 S Prospect St, Burlington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841640554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 068-0117885 (Vermont) | Primary |
Entity Name | Evolution Psychotherapy, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720629462 PECOS PAC ID: 0446695415 Enrollment ID: O20240229001218 |
Mailing Address | Practice Location Address |
---|---|
Michael Sheppard, LCMHC Po Box 541, Colchester, VT 05446-0541 Ph: (802) 448-0448 | Michael Sheppard, LCMHC 1 S Prospect St, Burlington, VT 05401-3456 Ph: (802) 847-1426 |
Christine Rose Germano, MS, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Elmwood Ave, Burlington, VT 05401 Phone: 802-870-6858 | |
Rebecca Mckay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Lake St, Burlington, VT 05401 Phone: 802-328-9827 | |
Katherine Santa Maria, Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Elmwood Ave, Burlington, VT 05401 Phone: 802-864-7423 | |
Sarah L. Gerdeman, LCSW-R, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 | |
Kendra Marceau, M.S., NCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 86 Lake St, Burlington, VT 05401 Phone: 802-865-3450 Fax: 802-860-5011 | |
Eric Hughes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Elmwood Ave, Burlington, VT 05401 Phone: 978-987-0305 | |
Jill Everett, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6600 |