Individual provider Active NPI

Laetitia Caroline Sprigg, LCMHC

  • Counselor
  • Charlotte, VT
National Provider Identifier
1427413178
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
068.0057682 Issued in VT
Practice address
75 Moss Rock Rd
Charlotte, VT 05445-9632
Phone
(802) 989-6287
NPI assigned
Dec 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 068.0057682 VT Primary

Addresses

Primary practice location

75 Moss Rock Rd
Charlotte, VT 05445-9632

Mailing address

75 Moss Rock Rd
Charlotte, VT 05445-9632
Phone (802) 989-6287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201001304 VT Practitioner - Mental Health Counselor 6103279559 Practice locations: Charlotte, VT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

75 Moss Rock Rd
Charlotte, VT 05445-9632
Phone (802) 989-6287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068.0057682VTMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1427413178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MOSS ROCK RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459632",
            "telephone_number": "802-989-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MOSS ROCK RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459632",
            "telephone_number": "802-989-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRIGG",
        "first_name": "LAETITIA",
        "middle_name": "CAROLINE",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VT",
            "license": "068.0057682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, VT

Sources for this page

Verify at the official NPI Registry.