Individual provider Active NPI

Ciara Landry, LCMHC

  • Mental Health Counselor
  • Barre, VT
National Provider Identifier
1477275345
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0134847 Issued in VT
Practice address
21 Merchant St
Barre, VT 05641-3871
Phone
(720) 590-3955
NPI assigned
Sep 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 068.0134847 VT Primary

Addresses

Primary practice location

21 Merchant St
Barre, VT 05641-3871

Mailing address

21 Merchant St
Barre, VT 05641-3871

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SendSafely

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
I20240118003979 VT Practitioner - Mental Health Counselor 7810349487 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068.0134847VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Central Vermont Medical Center Inc Single Specialty CurrentSince Oct 19, 2024 Accepting new patients

Locations

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1477275345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MERCHANT ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056413871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MERCHANT ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056413871",
            "telephone_number": "720-590-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "CIARA",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SendSafely",
            "affiliation": "N",
            "address_1": "21 Merchant St",
            "city": "Barre",
            "state": "VT",
            "country_code": "US",
            "postal_code": "056413871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barre, VT

Sources for this page

Verify at the official NPI Registry.