Active NPI
Katie Gillespie
- Mental Health Counselor
- Middlebury, VT
National Provider Identifier
1124983697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068.0136978
- Practice address
- 89 Main St
Middlebury, VT 05753-1483 - Phone
- (802) 388-6751
- Fax
- (802) 388-8183
- NPI assigned
- Dec 17, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Middlebury, VT
- NPI 1750231270
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- University of Vermont College of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
89 Main St
Middlebury, VT 05753-1459
89 Main St
Middlebury, VT 05753-1483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 16, 2026 through Feb 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068.0136978 | VT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liminal Space Psychotherapy PLLC | Current | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068.0136978 | VT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
89 Main St
Middlebury, VT 05753-1483
Mailing address
89 Main St
Middlebury, VT 05753-1483
Phone (802) 388-6751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 17, 2025.
{
"created_epoch": "1765929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1124983697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 MAIN ST",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057531483",
"telephone_number": "802-388-6751",
"fax_number": "802-388-8183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 MAIN ST",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057531483",
"telephone_number": "802-388-6751",
"fax_number": "802-388-8183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-17",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068.0136978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middlebury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.