Green Mountain Psychotherapy PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

GREEN MOUNTAIN PSYCHOTHERAPY PC

Practice address

1233 Shelburne Rd Ste 460a
South Burlington, VT 05403-7780

Phone

(802) 391-9137

NPI assigned

Feb 2, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Morgan Flagg, LICSWNPI 1124679261

Title

Owner

Phone

(203) 216-5641

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Morgan Flagg, LICSW

  • Clinical Social Worker
  • South Burlington, VT
  • NPI 1124679261
  NPD Authorized official

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1104522911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MT PHILO RD",
            "city": "NORTH FERRISBURGH",
            "state": "VT",
            "postal_code": "054734015",
            "telephone_number": "203-216-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SHELBURNE RD STE 460A",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037780",
            "telephone_number": "802-391-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN PSYCHOTHERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "FLAGG",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-216-5641",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Granite Ridge Counseling, LCC (Granite Ridge Counseling)
• Michael William Gravett, N.D.
• Karin Batalden Gray, MD
• Green Mountain Dental, PLC
• Green Mountain Pediatric Dentistry, PLLC
• Green Mountain Total Care
• Carol Green, NP
• Robert Lawrence Green, LCMHC
• Bree Greenberg-Benjamin, LMFT
• Tresa Greenblott, RN

• Adult Mental Health Clinic/Center in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Adult Mental Health Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.