Jerri Brouillette, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

151.0125298 Issued in VT

Practice address

65 Northgate PLZ Ste 11
Morrisville, VT 05661-5900

Phone

(802) 888-8320

NPI assigned

Dec 6, 2017

Last updated

Dec 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jerri.brouillette@chslv.eclinicaldirectplus.com

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.

• Lamoille Health Partners Inc.

  • Federally Qualified Health Center (FQHC)
  • Cambridge, VT
  • NPI 1538945001
  NPD (past)
• Lamoille Health Partners, Inc

  dba Behavioral Medicine

  • Cognitive & Behavioral Psychologist
  • Morrisville, VT
  • NPI 1851349484

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1316452824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056610749",
            "telephone_number": "802-888-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 NORTHGATE PLZ STE 11",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056615900",
            "telephone_number": "802-888-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUILLETTE",
        "first_name": "JERRI",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151.0125298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "151.0125298",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah A. Blair, M.D.
• Blue Spruce Therapy, LLC
• Alexandra K Bovey, C.N.M.
• Sharon Brahmstedt, PMHNP
• Jaclyn A Bromley, CNM
• Ashley Brown
• Owen W. Brown, COUNSELOR
• Kimberly M Bruno, MD
• Kristen Joan Burkholder, MS, BCBA, LBA-VT
• Patrick Cahill, PHARM.D.

• Addiction (Substance Use Disorder) Counselor in Morrisville, VT
• Providers in Morrisville, VT by specialty
• Addiction (Substance Use Disorder) Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.