Blue Spruce Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLUE SPRUCE THERAPY, LLC

Practice address

109 Professional Dr Ste 3
Morrisville, VT 05661-9302

Phone

(802) 760-0919

NPI assigned

Jun 3, 2022

Organization subpart

No

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

Authorized official

Name

Audrey KielyNPI 1700438736

Title

Owner

Phone

(802) 760-0919

Specialties & licenses 1

Addresses

Practitioners 1

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

• Audrey Kiely

  • Clinical Social Worker
  • Morrisville, VT
  • NPI 1700438736
  NPD Authorized official

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1083353353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PROFESSIONAL DR STE 3",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056619302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PROFESSIONAL DR STE 3",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056619302",
            "telephone_number": "802-760-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPRUCE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "KIELY",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-760-0919"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Bevins, MA
• Bickerstaff Counseling, LLC
• Meghan Bickerstaff, LCMHC
• Birchwood Counseling LLC
• Sarah A. Blair, M.D.
• Alexandra K Bovey, C.N.M.
• Sharon Brahmstedt, PMHNP
• Jaclyn A Bromley, CNM
• Jerri Brouillette, LADC
• Ashley Brown

• Clinical Social Worker in Morrisville, VT
• Providers in Morrisville, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.