Individual provider Active NPI

Matthew Bijur, M.S.

  • Addiction (Substance Use Disorder) Counselor
  • Winooski, VT
National Provider Identifier
1215014725
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000346 Issued in VT
Practice address
20 W Canal St
Winooski, VT 05404-2131
Phone
(802) 598-1060
Fax
(802) 425-5435
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000346 VT Primary
Mental Health Counselor 101YM0800X 0680000604 VT

Addresses

Primary practice location

20 W Canal St
Winooski, VT 05404-2131

Mailing address

366 Ferry Rd
Charlotte, VT 05445-9600
Phone (802) 425-5435

Other identifiers 1

IdentifierTypeStateIssuer
1010050MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000346VTMDAddiction (Substance Use Disorder) Counselor
0680000604VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1215014725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 FERRY RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459600",
            "telephone_number": "802-425-5435",
            "fax_number": "802-425-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W CANAL ST",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054042131",
            "telephone_number": "802-598-1060",
            "fax_number": "802-425-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIJUR",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000346",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680000604",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010050",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winooski, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.