Provider Demographics
NPI:1811887870
Name:FIELDSTONE COUNSELING
Entity type:Organization
Organization Name:FIELDSTONE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW MSW
Authorized Official - Phone:802-376-1516
Mailing Address - Street 1:940 SAXTONS RIVER RD
Mailing Address - Street 2:
Mailing Address - City:SAXTONS RIVER
Mailing Address - State:VT
Mailing Address - Zip Code:05154-9701
Mailing Address - Country:US
Mailing Address - Phone:802-376-1516
Mailing Address - Fax:
Practice Address - Street 1:940 SAXTONS RIVER RD
Practice Address - Street 2:
Practice Address - City:SAXTONS RIVER
Practice Address - State:VT
Practice Address - Zip Code:05154-9701
Practice Address - Country:US
Practice Address - Phone:802-376-1516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health