Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan W Gilson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104374826

Ethan W Gilson is a Mental Health Counselor in Winooski, Vermont. Qualified in 2014, 12 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Vermont.

Years since qualifying
12
Licensed in
VT
In the registry since
2016

Practice location Address checks out

476 Main St
Winooski, VT 05404-1300
Phone: (802) 363-1602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 000728 (VT)

Record details

NPI number1104374826
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 12, 2016
Last updated in NPPESSeptember 12, 2016
Mailing addressPo Box 102, Winooski, VT 05404-0102

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Winooski