TONY J GRAVELINE LADC
NPI 1023316494
Counselor - Mental Health in Derby, VT

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since March 08, 2011PECOS Enrolled

181 CRAWFORD ROAD, DERBY, VT 05829(802) 334-6744 Get Directions Write a Review

NPPES record last updated: September 5, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tony J Graveline Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONY J GRAVELINE LADC (NPI 1023316494) is an individual mental health provider in Derby, Vermont, licensed in Vermont (0680101473) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023316494

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameTONY J GRAVELINECredential: LADC

Location Address181 CRAWFORD ROADDerby, VT 05829

Mailing AddressPo Box 724Newport, VT 05855 · (802) 334-6744

Phone(802) 334-6744

Sole ProprietorNo

Enumeration DateMarch 8, 2011

Last NPPES UpdateSeptember 5, 2014

✔ NPI 1023316494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in VT · 0680101473

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 000526 (VT)

181 CRAWFORD ROAD, Derby, VT 05829

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Enrolled in Medicare (PECOS)

Tony J Graveline Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.