Active NPI
Sara Jane Luneau, LCMHC
- Mental Health Counselor
- Jeffersonville, VT
National Provider Identifier
1366825846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068.0090868
- Practice address
- 186 School Road
Jeffersonville, VT 05464 - Phone
- (802) 598-1616
- NPI assigned
- Jul 2, 2015
- Last updated
- Aug 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068.0090868 | VT | Primary |
Addresses
Primary practice location
186 School Road
Jeffersonville, VT 05464
Mailing address
2998 Sweet Hollow Road
Sheldon, VT 05483-8421
Phone (802) 598-1616
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366825846 | Other | VT | GREEN MOUNTAIN CARE - VERMONT MEDICAID PROVIDER |
| 1366825846 | Other | VT | BLUE CROSS BLUE SHIELD OF VERMONT |
| 701102317 | Medicaid | VT |
Other names 1
- Sara Luneau-Swan
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 3, 2024 through Jan 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068.0090868 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1366825846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2998 SWEET HOLLOW ROAD",
"city": "SHELDON",
"state": "VT",
"postal_code": "054838421",
"telephone_number": "802-598-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 SCHOOL ROAD",
"city": "JEFFERSONVILLE",
"state": "VT",
"postal_code": "05464",
"telephone_number": "802-598-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNEAU",
"first_name": "SARA",
"middle_name": "JANE",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-02",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068.0090868",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREEN MOUNTAIN CARE - VERMONT MEDICAID PROVIDER",
"identifier": "1366825846",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF VERMONT",
"identifier": "1366825846",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "701102317",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "LUNEAU-SWAN",
"credential": "LCMHC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jeffersonville, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.