MELISSA M DALTRY LCMHC
NPI 1093091449
Counselor - Mental Health in Burlington, VT

Active since October 31, 2011Opted out of Medicare · through Apr 12, 2028
110 CHERRY ST, SUITE 1-5, BURLINGTON, VT 05401(802) 236-2873 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2017, Nov 11, 2015 (2 updates tracked since 2015).

About Melissa M Daltry Lcmhc NPPES

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

MELISSA M DALTRY LCMHC (NPI 1093091449) is an individual mental health provider in Burlington, Vermont, licensed in Vermont (068-0057449) and active in the NPI registry since October 2011. She has opted out of Medicare through April 12, 2028.

NPPES Registry Identity

NPI1093091449
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMELISSA M DALTRYCredential: LCMHC
Location Address110 CHERRY ST, SUITE 1-5Burlington, VT 05401-3938
Mailing Address110 Cherry St, Suite 1-5Burlington, VT 05401-3938 · (802) 236-2873
Sole ProprietorYes
Enumeration DateOctober 31, 2011
Last NPPES UpdateFebruary 27, 20172 updates tracked since enumeration
NPI 1093091449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in VT · 068-0057449
110 CHERRY ST, Burlington, VT 05401

Other Identifiers 1

Medicaid1019860VT

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Melissa M Daltry Lcmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 12, 2024 through April 12, 2028.

Opt-Out Effective DateApril 12, 2024
Opt-Out In Effect ThroughApril 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
110 CHERRY ST, SUITE 1-3B
BURLINGTON, VT 05401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Daltry's NPI number?

The NPI number for Melissa Daltry is 1093091449. It was assigned to this individual provider in the NPPES registry on October 31, 2011.

Where is Melissa Daltry located?

Melissa Daltry practices at 110 Cherry St Suite 1-5, Burlington, VT 05401. The listed phone number is (802) 236-2873.

What is Melissa Daltry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Melissa Daltry enrolled in Medicare?

No. Melissa Daltry has opted out of Medicare through April 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Melissa Daltry accept?

Health plans from Anthem Blue Cross and Blue Shield list Melissa Daltry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melissa Daltry was last updated on February 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.