Muddy Road Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MUDDY ROAD COUNSELING LLC

Practice address

100 E State St Ste 201
Montpelier, VT 05602-3112

Phone

(802) 371-9727

NPI assigned

Feb 19, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Long, LICSWNPI 1881499101

Title

Owner

Phone

(802) 371-9727

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Louise Long, LICSW

  • Clinical Social Worker
  • Montpelier, VT
  • NPI 1881499101
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1053117226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E STATE ST STE 201",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023112",
            "telephone_number": "802-371-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E STATE ST STE 201",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023112",
            "telephone_number": "802-371-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUDDY ROAD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-371-9727",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryanna Lynn Morris, RN
• Jennifer F Morris, MT
• Laureli D Morrow, APRN
• Elliott Driggs Morse, PT
• Lois Morse, LMFT
• Ellen Marie Munger, PMHNP-BC
• Bethany Jane Munn, RPSGT
• Caroline M. Murpny, D.D.S.
• Jamie S. Nair, AS
• NC Psychotherapy LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Montpelier, VT
• Providers in Montpelier, VT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.