ANDREA REYNOLDS (NPI# 1578079166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578079166 |
| Entity Type | Individual |
| Full Name | ANDREA REYNOLDS |
| Other Name | ANDREA PALKOVIC |
| Credential | MA, LCMHC, LADC |
| Practice Address |
108 Dion St Winooski VT 05404 |
| Mailing Address |
108 Dion St Winooski VT 05404-1517 |
| Practice Telephone | 5182217227 |
| Mailing Telephone | 5182217227 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2018-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
068.0117987 | VT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 855 Pine St, Burlington, VT 054014924 | 8024886300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
| 1548434079 | Andrea Brown Reynolds | Pediatrics | 4810 Whitesport Cir Sw Ste 100, Huntsville, AL 35801-7420 | 2008-04-16 |
| 1659912764 | Andrea Mcgann Reynolds | Occupational Therapist | 950 E County Line Rd Ste A, Ridgeland, MS 39157-1928 | 2019-10-01 |
| 1508344730 | Andrea Reynolds | Community Health Worker | 1550 Old Henderson Rd, Columbus, OH 43220-3626 | 2018-07-31 |
| 1639556772 | Andrea Reynolds | Counselor | 368 Fell St, San Francisco, CA 94102-5144 | 2015-04-28 |
| 1811278765 | Andrea Reynolds | Counselor | 160 E Holt Ave Ste B, Pomona, CA 91767-5407 | 2011-09-06 |
| 1811209695 | Andrea Marie Reynolds | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2010-07-08 |
| 1396071932 | Andrea L Reynolds | Massage Therapist | 129 Phelps Ave, Rockford, IL 61108-2453 | 2009-11-01 |
| 1912130295 | Andrea Marie Reynolds | Speech-Language Pathologist | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2009-09-02 |
| 1932371010 | Andrea Reynolds | Audiologist | 1720 Nicholasville Rd, Suite 500, Lexington, KY 40503-1404 | 2008-03-28 |
| Street Address |
108 DION ST |
| City | WINOOSKI |
| State | VT |
| Zip Code | 05404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1124086582 | John Ward | Social Worker | 79 Weaver Street, Vermont Childrens Aid Society, Winooski, VT 05404-0127 | 2006-05-03 |
| Find all providers in zip 05404 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265707137 | Emily Gustafson Crowder | Counselor | 16 George St, Winooski, VT 05404-1405 | 2012-03-12 |
| 1912981804 | Elizabeth Anne Lemaire-jenkins | Counselor | 20 W Canal St, Winooski, VT 05404-2131 | 2005-12-03 |
| 1639520786 | Angelique Trynell Schultz | Counselor | 476 Main St, Winooski, VT 05404-1300 | 2016-06-29 |
| 1033482914 | Josephine M Corcoran | Counselor | 20 W Canal St, Suite C/2, Winooski, VT 05404-2131 | 2012-02-22 |
| 1740512169 | Kimberly G Hollister | Counselor | 20 W Canal St, Ste C6, Winooski, VT 05404-2131 | 2010-02-10 |
| 1295894459 | Jenny Sue Cunningham | Counselor | 20 W Canal St, Suite C2, Winooski, VT 05404-2131 | 2006-12-06 |
| 1104997279 | David Gauthier | Counselor | 432 Main St, Winooski, VT 05404-1338 | 2006-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614247 | Sarah Greenspan | Counselor | 1150 Shunpike Rd, Shrewsbury, VT 05738-9713 | 2020-09-22 |
| 1396359212 | Puja Senning | Counselor | 372 Pollander Rd, Waterbury, VT 05676-9428 | 2020-09-08 |
| 1629682174 | Maya Kunigis | Counselor | 334 Southridge Rd, Williston, VT 05495-5238 | 2020-09-02 |
| 1619588001 | Ashley Ann Stackowitz | Counselor | 1624 Lillieville Brook Rd, Bethel, VT 05032-9719 | 2020-08-11 |
| 1356950984 | Keith Edward Smith | Counselor | 288 Flynn Ave Apt 26, Burlington, VT 05401-5370 | 2020-07-29 |
| 1528677325 | Gavin B Chadwell | Counselor | 337 College St Ste G, Burlington, VT 05401-8344 | 2020-07-28 |
| 1790302552 | Neil Herrick | Counselor | 97 Cedar Hill Ln Apt 12, Montpelier, VT 05602-3546 | 2020-06-28 |
| 1144847971 | Victoria Trihy | Counselor | 107 Bridge St Unit 4, Waitsfield, VT 05673-6219 | 2020-06-27 |
| 1669098737 | Ari Shapiro-miller | Counselor | 68 Finch Ct, South Burlington, VT 05403-7570 | 2020-06-24 |
| 1669096434 | Callie Douglass | Counselor | 337 College St, Burlington, VT 05401-8344 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
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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.