Individual provider Active NPI

Nicole Giard-Jeter, LCMHC

  • Mental Health Counselor
  • Essex Junction, VT
National Provider Identifier
1144806167
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0134303 Issued in VT
Practice address
15 Brickyard Rd
Essex Junction, VT 05452-4443
Phone
(802) 783-9507
NPI assigned
Mar 21, 2021
Last updated
Sep 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0134303 VT Primary

Addresses

Primary practice location

15 Brickyard Rd
Essex Junction, VT 05452-4443

Mailing address

PO Box 443
Essex Junction, VT 05453-0443
Phone (802) 783-9507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 22, 2024 through Jan 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
068.0134303VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole Giard-Jeter Counseling, LLC Mental Health CurrentSince Mar 28, 2021 Accepting new patients

Locations

78 Severance Grn
Unit 108
Colchester, VT 05446
Phone (802) 578-5577

15 Brickyard Rd
Essex Junction, VT 05452
Phone (802) 391-9556

89 Main St
Essex Junction, VT 05452
Phone (802) 879-6556

Interoperability endpoints

  • Direct secure messaging: nicole.giard.jeter@nicole-giard-jeter-counseling.direct.kno2fy.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1144806167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054530443",
            "telephone_number": "802-783-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BRICKYARD RD",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054524443",
            "telephone_number": "802-783-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIARD-JETER",
        "first_name": "NICOLE",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-21",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

Verify at the official NPI Registry.