MR. TERRY D MAXFIELD JR. (NPI# 1487960712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487960712 |
| Entity Type | Individual |
| Full Name | MR. TERRY D MAXFIELD JR. |
| Credential | MA, LCMHC |
| Practice Address |
82 Eastview Lane Ste 3 Berlin VT 05602-0000 |
| Mailing Address |
Po Box 547 Att: Cvmc Finace Dept Barre VT 05641-0547 |
| Practice Telephone | 8022251266 |
| Practice Fax Number | 8024793548 |
| Mailing Telephone | 8022251266 |
| Mailing Fax Number | 8024793548 |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2015-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
068.0057660 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1018048 | 05 |
| Street Address |
82 EASTVIEW LANE STE 3 |
| City | BERLIN |
| State | VT |
| Zip Code | 05602-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476981 | Morgan Lamson | Nurse Practitioner | Central Vermont Medical Center, 130 Fisher Road, Berlin, VT 05602 | 2020-01-22 |
| 1265086037 | Abbey Lynne Rouleau | Nurse Practitioner | Cvmc Palliative Care, 130 Fisher Road 2nd Floor, Berlin, VT 05602 | 2019-07-30 |
| 1295229896 | Julia Chafets | Social Worker | 132 Main St Ste 2, Montpelier, VT 05602 | 2018-06-18 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1528506508 | Caitlin Roberts | Specialist/Technologist | 930 Gallison Hill Rd, U32 Middle and High School, Montpelier, VT 05602 | 2017-02-09 |
| 1417493297 | Sayed Shahabodin Khatounabadi | Pharmacist | 29-31 Main St, Montpelier, VT 05602 | 2017-01-17 |
| 1972052660 | Frangis Aliakbarkhani | Pharmacist | 29-31 Main St., Montpelier, VT 05602 | 2016-09-23 |
| 1144676610 | Shippee Family Eye Care PC | Optometrist | 15 East State St, Montpelier, VT 05602 | 2016-05-13 |
| 1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
| 1790193985 | Jennifer Sanborn | Counselor | 246 Granger Rd., Suite 2, Berlin, VT 05602 | 2014-07-31 |
| Find all providers in zip 05602 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349738 | Nicholas Thomas Kolosky | Counselor | 129 Sea Green Dr, Berlin, CT 06037-4095 | 2020-05-29 |
| 1194385997 | Kimberly J Poole-sykes | Counselor | 10776 Grays Corner Rd Unit 2, Berlin, MD 21811-3561 | 2019-06-14 |
| 1992279491 | Rachel Boyer | Counselor | 237 Gates Pond Rd, Berlin, MA 01503-1306 | 2019-01-17 |
| 1780935239 | Seaside Counseling & Wellness Center, LLC. | Counselor | 10776 Grays Corner Rd, Suite 2, Berlin, MD 21811-3541 | 2012-09-24 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1033416102 | Sharanda Williamson | Counselor | 128 Berlin Cross Keys Rd, Berlin, NJ 08009-9201 | 2011-02-24 |
| 1245471952 | Wanda Siena Blanco | Counselor | 16 S Main St Ste D, Berlin, MD 21811-1467 | 2009-03-11 |
| 1629125299 | Ann-margaret Moise | Counselor | 10514 Racetrack Rd Ste C, Berlin, MD 21811-3241 | 2007-01-04 |
| 1184797128 | Maria Coviello | Counselor | 3 Twelfth St, Berlin, NH 03570-3860 | 2006-11-16 |
| 1215024179 | Sharon Riley | Counselor | Hummel Bldg, Us Rt 39, Berlin, OH 44610 | 2006-10-10 |
| Find all providers in BERLIN | ||||
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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.