Mindful Confluence Psychotherapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MINDFUL CONFLUENCE PSYCHOTHERAPY LLC

Practice address

2896 VT Route 109
Belvidere Center, VT 05442-4413

Phone

(802) 782-7952

NPI assigned

Jun 24, 2025

Organization subpart

No

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

Authorized official

Name

Marissa Ann Mason, LICSWNPI 1023760261

Title

Owner

Phone

(802) 782-7952

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marissa A Mason, LICSW

  • Clinical Social Worker
  • Morrisville, VT
  • NPI 1023760261
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1467340992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2896 VT ROUTE 109",
            "city": "BELVIDERE CENTER",
            "state": "VT",
            "postal_code": "054424413",
            "telephone_number": "802-782-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2896 VT ROUTE 109",
            "city": "BELVIDERE CENTER",
            "state": "VT",
            "postal_code": "054424413",
            "telephone_number": "802-782-7952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Vt Rte 15",
            "address_purpose": "LOCATION",
            "city": "Wolcott",
            "state": "VT",
            "postal_code": "056803013",
            "country_code": "US",
            "telephone_number": "802-782-7952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL CONFLUENCE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-782-7952",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.