MR. CHARLES RICHARD GURNEY LICSW LADC NPI 1093883365

NPI Information

NPI: 1093883365
Provider Name: MR. CHARLES RICHARD GURNEY, LICSW, LADC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
31 MAIN ST
SUITE 6
BURLINGTON, VT
ZIP 05401
Phone: (802) 379-4286
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MR. Charles Richard Gurney, LICSW, LADC is a mental health counselor in Burlington, VT. MR. Charles Richard Gurney, LICSW, LADC NPI is 1093883365. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

31 MAIN ST
SUITE 6
BURLINGTON, VT
ZIP 05401-407
Phone: (802) 379-4286

The NPI 1093883365 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/2/2006 and was last updated on 9/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000094	VERMONT	No
2	101YM0800X	Counselor	Mental Health	089-0000306	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	19092	OTHER	VERMONT	VT BCBS PIN NUMBER
2	933840	OTHER	VERMONT	MAGELLAN PIN NUMBER
3	1100004	MEDICAID	VERMONT
4	OVN0754	MEDICAID	VERMONT
5	093706	OTHER	VERMONT	VALUE OPTIONS PIN
6	45605	OTHER	VERMONT	MBC VT PIN NUMBER
7	2029811	OTHER	VERMONT	CIGNA PIN NUMBER
8	217818	OTHER	VERMONT	MHN PIN NUMBER
9	GUVN0754	MEDICARE PIN	VERMONT
10	61167	OTHER	VERMONT	MVP PIN NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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