MR. MATTHEW BIJUR (NPI# 1215014725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215014725 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW BIJUR |
| Credential | M.S. |
| Practice Address |
20 W Canal St Winooski VT 05404-2131 |
| Mailing Address |
366 Ferry Rd Charlotte VT 05445-9600 |
| Practice Telephone | 8025981060 |
| Practice Fax Number | 8024255435 |
| Mailing Telephone | 8024255435 |
| Mailing Fax Number | 8024255435 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000346 | VT | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
0680000604 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1010050 | 05 |
| Street Address |
20 W CANAL ST |
| City | WINOOSKI |
| State | VT |
| Zip Code | 05404-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912981804 | Elizabeth Anne Lemaire-jenkins | Counselor | 20 W Canal St, Winooski, VT 05404-2131 | 2005-12-03 |
| 1306398649 | Jessica M Morrison | Nurse Practitioner | 20 W Canal St, Suite C1, Winooski, VT 05404-2131 | 2016-11-03 |
| 1609211705 | Dianne M Villani | Nurse Practitioner | 20 W Canal St, Suite #c1, Winooski, VT 05404-2131 | 2013-05-02 |
| 1033482914 | Josephine M Corcoran | Counselor | 20 W Canal St, Suite C/2, Winooski, VT 05404-2131 | 2012-02-22 |
| 1205122058 | Abigail M Wadsworth | Dietitian, Registered | 20 W Canal St, Suite C1, Winooski, VT 05404-2131 | 2011-06-21 |
| 1740512169 | Kimberly G Hollister | Counselor | 20 W Canal St, Ste C6, Winooski, VT 05404-2131 | 2010-02-10 |
| 1215184007 | Amanda L. Cannamela | Counselor | 20 W Canal St, Suite C4, Winooski, VT 05404-2131 | 2008-08-22 |
| 1740492735 | Katie Ann Cate | Psychologist | 20 W Canal St, Suite C-11, Winooski, VT 05404-2131 | 2007-05-04 |
| 1184775694 | Katherine Hudspeth Maynard | Counselor | 20 W Canal St, Suite C2, Winooski, VT 05404-2131 | 2007-01-13 |
| 1295894459 | Jenny Sue Cunningham | Counselor | 20 W Canal St, Suite C2, Winooski, VT 05404-2131 | 2006-12-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578079166 | Andrea Reynolds | Counselor | 108 Dion St, Winooski, VT 05404 | 2017-12-19 |
| 1861555922 | Eva Simon | Counselor | 20 West Canal St, Woolen Mill Offices, Winooski, VT 05404 | 2006-12-19 |
| 1326109620 | Mary E Kegelman | Nurse Practitioner | Champlain Mill, 20 Winooski Falls Way, Suite 400, Winooski, VT 05404 | 2006-12-12 |
| 1164596730 | Anne Minor Knott | Family Medicine | 32b Malletts Bay Avenue, Winooski Family Health, Winooski, VT 05404 | 2006-11-17 |
| 1376596478 | Christine M. Staats | Family Medicine | 32 East Malletts Bay Ave., Winooski, VT 05404 | 2006-05-18 |
| 1700181856 | Ashley Rebecca Bercovici | Massage Therapist | 467 Main St, Winooski, VT 05404 | 2011-01-21 |
| 1861705766 | Kandi Poulin | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2010-07-20 |
| 1063583441 | Timberlane Physical Therapy Inc | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| 1437220811 | Lesli R Bell | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| 1114098449 | Candice S Brueck | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| Find all providers in zip 05404 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962875849 | Linda Ann Ryan | Counselor | 476 Main St, Winooski, VT 05404-1300 | 2015-11-02 |
| 1609897255 | Bernadette M O'neil | Counselor | 127 W Spring St, Winooski, VT 05404-1936 | 2006-07-21 |
| 1104374826 | Ethan W Gilson | Counselor | 476 Main St, Winooski, VT 05404-1300 | 2016-09-12 |
| 1215184007 | Amanda L. Cannamela | Counselor | 20 W Canal St, Suite C4, Winooski, VT 05404-2131 | 2008-08-22 |
| 1184775694 | Katherine Hudspeth Maynard | Counselor | 20 W Canal St, Suite C2, Winooski, VT 05404-2131 | 2007-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382564 | Stefanie Lingenfelter | Counselor | 8101 Vt Rte 111 Ste 1, Morgan, VT 05853-9719 | 2020-09-25 |
| 1659998201 | Laura Mack Dewey | Counselor | 2753 Centerville Rd, Hyde Park, VT 05655-9452 | 2020-06-30 |
| 1639798325 | Lila Ziva Rosenbloom | Counselor | 39 Fogg Farm Rd, Wilder, VT 05088 | 2020-04-13 |
| 1104386655 | Savida Agency, Inc. | Counselor | 655 Main St Ste 2, Bennington, VT 05201-2871 | 2019-03-21 |
| 1518424506 | Beverly Susan Allen | Counselor | 2 North St, Barre, VT 05641-3810 | 2019-02-26 |
| 1417420290 | Wesley Wolter | Counselor | 1461 Blood Brook Rd, Fairlee, VT 05045-9847 | 2019-01-04 |
| 1447722186 | Cynthia Lynn Marble | Counselor | 300 Maple St Ste 201, Brattleboro, VT 05301-6512 | 2018-12-19 |
| 1063988624 | Melissa M Taylor | Counselor | 158 Meade Hill, Morgan, VT 05853 | 2018-10-22 |
| 1295231165 | James Anthony Strange | Counselor | 6385 Vt Route 5a, Orleans, VT 05860-9340 | 2018-04-01 |
| 1609381250 | Hope Marie Love | Counselor | 27 Federal St Ste 300, Saint Albans, VT 05478-2032 | 2017-12-05 |
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| 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.