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MR. JOHN ROBERT GLEASON MS LCMHC LADC NPI 1295744654


NPI Information

NPI: 1295744654
Provider Name: MR. JOHN ROBERT GLEASON, MS, LCMHC, LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
187 SAINT PAUL ST
BURLINGTON, VT
ZIP 05401
Phone: (802) 865-0534
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MR. John Robert Gleason, MS, LCMHC, LADC is an addiction (substance use disorder) counselor in Burlington, VT. MR. John Robert Gleason, MS, LCMHC, LADC NPI is 1295744654. 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:

187 SAINT PAUL ST
BURLINGTON, VT
ZIP 05401-689
Phone: (802) 865-0534
Fax: (802) 865-0534

The enumeration date for this NPI number is 8/5/2006 and was last updated on 7/9/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)000358VERMONTYes
2101YM0800XCounselorMental Health0680000566VERMONTX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11010197MEDICAIDVERMONT

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.