=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023307477
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MELINDA E MCALLISTER LCMHC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/06/2011
-----------------------------------------------------
Last Update Date | 04/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 295 N MAIN ST 2ND FLOOR
-----------------------------------------------------
City | BARRE
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05641-4108
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-371-7415
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 98 1/2 RAILROAD ST
-----------------------------------------------------
City | BARRE
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05641-4526
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-371-7415
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 068-0065979
-----------------------------------------------------
License Number State | VT
-----------------------------------------------------