Active NPI
Jessica McCloud, MS
- Mental Health Counselor
- South Burlington, VT
National Provider Identifier
1487031589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068.0103404
- Practice address
- 8 Keari LN
South Burlington, VT 05403-7851 - Phone
- (802) 922-0469
- NPI assigned
- Apr 28, 2015
- 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 | 068.0103404 | VT | Primary |
Addresses
Primary practice location
8 Keari LN
South Burlington, VT 05403-7851
Mailing address
8 Keari LN
South Burlington, VT 05403-7851
Phone (802) 922-0469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068.0103404 | VT | MD | Mental Health Counselor |
Interoperability endpoints
- jessica.mccloud.1@14940.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430179200000",
"number": "1487031589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 KEARI LN",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054037851",
"telephone_number": "802-922-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 KEARI LN",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054037851",
"telephone_number": "802-922-0469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLOUD",
"first_name": "JESSICA",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-28",
"last_updated": "2015-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068.0103404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.