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AMBER BANTA LCMHC
NPI 1407563810
Counselor - Mental Health in Burlington, VT

Active since November 04, 2022Opted out of Medicare · through Jan 1, 2028
125 SAINT PAUL ST STE 106, BURLINGTON, VT 05401(802) 276-1030 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amber Banta Lcmhc NPPES

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

AMBER BANTA LCMHC (NPI 1407563810) is an individual mental health provider in Burlington, Vermont, licensed in Vermont (068.0134865) and active in the NPI registry since November 2022. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1407563810
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMBER BANTACredential: LCMHC
Location Address125 SAINT PAUL ST STE 106Burlington, VT 05401-8686
Mailing Address105 Depot St Unit 1034Stowe, VT 05672-7442 · (802) 276-1030
Phone(802) 276-1030
Sole ProprietorYes
Enumeration DateNovember 4, 2022
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
✔ NPI 1407563810 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 · 068.0134865
125 SAINT PAUL ST STE 106, Burlington, VT 05401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amber Banta 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

ZACHARY KEY
Counselor (Mental Health)
125 SAINT PAUL ST STE 106
BURLINGTON, VT 05401
Chittenden County (802) 858-5552
MEGAN GETHING MD PLLC
Psychiatry & Neurology (Psychiatry)
125 SAINT PAUL ST STE 106
BURLINGTON, VT 05401
Chittenden County (802) 391-4241
MELISSA GAUDIO LICSW
Social Worker (Clinical)
125 SAINT PAUL ST STE 106
BURLINGTON, VT 05401
Chittenden County (802) 345-7603
DIANA KEENAN LICSW
Social Worker (Clinical)
125 SAINT PAUL ST STE 106
BURLINGTON, VT 05401
Chittenden County (845) 300-5861
COREY RICHARDSON LICSW
Social Worker (Clinical)
125 SAINT PAUL ST STE 106
BURLINGTON, VT 05401
Chittenden County (802) 598-9491

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 Amber Banta's NPI number?

The NPI number for Amber Banta is 1407563810. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Where is Amber Banta located?

Amber Banta practices at 125 Saint Paul St Ste 106, Burlington, VT 05401. The listed phone number is (802) 276-1030.

What is Amber Banta's specialty?

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

Is Amber Banta enrolled in Medicare?

No. Amber Banta has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amber Banta was last updated on September 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.