Healthcare Provider Details

I. General information

NPI: 1952407157
Provider Name (Legal Business Name): NANCY E. FELDMAN MA, LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 W TWIN OAKS TER STE 12
SOUTH BURLINGTON VT
05403-7141
US

IV. Provider business mailing address

54 W TWIN OAKS TER STE 12
SOUTH BURLINGTON VT
05403-7141
US

V. Phone/Fax

Practice location:
  • Phone: 802-864-4949
  • Fax:
Mailing address:
  • Phone: 802-864-4949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number068-0000586
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: