MR. ANTHONY GRUDIN LCMHC
NPI 1821805474
Counselor - Mental Health in Burlington, VT

Active since December 17, 2024Opted out of Medicare · through Feb 18, 2027
22 ROCKLAND ST, BURLINGTON, VT 05408(802) 324-9251 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Anthony Grudin Lcmhc NPPES

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

MR. ANTHONY GRUDIN LCMHC (NPI 1821805474) is an individual mental health provider in Burlington, Vermont, licensed in Vermont (068.0136322) and active in the NPI registry since December 2024. He has opted out of Medicare through February 18, 2027.

NPPES Registry Identity

NPI1821805474
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. ANTHONY GRUDINCredential: LCMHC
Location Address22 ROCKLAND STBurlington, VT 05408-1118
Mailing Address22 Rockland StBurlington, VT 05408-1118 · (802) 324-9251
Sole ProprietorNo
Enumeration DateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
NPI 1821805474 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 · 068.0136322
22 ROCKLAND ST, Burlington, VT 05408

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Anthony Grudin 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 February 18, 2025 through February 18, 2027.

Opt-Out Effective DateFebruary 18, 2025
Opt-Out In Effect ThroughFebruary 18, 2027Opt-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)
22 ROCKLAND ST
BURLINGTON, VT 05408

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 Anthony Grudin's NPI number?

The NPI number for Anthony Grudin is 1821805474. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Where is Anthony Grudin located?

Anthony Grudin practices at 22 Rockland St, Burlington, VT 05408. The listed phone number is (802) 324-9251.

What is Anthony Grudin's specialty?

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

Is Anthony Grudin enrolled in Medicare?

No. Anthony Grudin has opted out of Medicare through February 18, 2027. 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 Anthony Grudin was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.