Healthcare Provider Details

I. General information

NPI: 1023378627
Provider Name (Legal Business Name): ANTHONY S PARMENTER MA, LCMHC, AAP, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2012
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ANNA MARSH LN.
BRATTLEBORO VT
05301-0000
US

IV. Provider business mailing address

1 ANNA MARSH LN.
BRATTLEBORO VT
05301-0000
US

V. Phone/Fax

Practice location:
  • Phone: 802-258-6718
  • Fax:
Mailing address:
  • Phone: 802-258-6718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4608
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1834AL
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number114192
License Number StateIA
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number011191
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number068.0106606
License Number StateVT
# 6
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCC7016
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: