Active NPI
Laurie L. Pontbriand, LCMHC
- Mental Health Counselor
- Montpelier, VT
National Provider Identifier
1043310659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068-0000558
- Practice address
- 9 Heaton St
Montpelier, VT 05602-2489 - Phone
- (802) 223-6328
- Fax
- (802) 229-8004
- NPI assigned
- Sep 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068-0000558 | VT | Primary |
Addresses
Primary practice location
9 Heaton St
Montpelier, VT 05602-2489
Mailing address
PO Box 647
Montpelier, VT 05601-0647
Phone (802) 223-6328
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2294586 | Other | VT | CIGNA |
| 1009566 | Medicaid | VT | |
| 00069177 | Other | VT | BLUE CROSS/BLUE SHIELD VT |
| 989026 | Other | MVP | |
| 360330 | Other | VT | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068-0000558 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1043310659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 647",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056010647",
"telephone_number": "802-223-6328",
"fax_number": "802-229-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 HEATON ST",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056022489",
"telephone_number": "802-223-6328",
"fax_number": "802-229-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONTBRIAND",
"first_name": "LAURIE",
"middle_name": "L.",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068-0000558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2294586",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009566",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD VT",
"identifier": "00069177",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "989026",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "360330",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montpelier, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.