Active NPI
Matthew John Mulligan, MA
- Mental Health Counselor
- Barre, VT
National Provider Identifier
1598620544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068.0123812
- Practice address
- 47 Granite St Apt 2
Barre, VT 05641-4191 - Phone
- (802) 249-9362
- NPI assigned
- Dec 22, 2025
- Sex
- Male
- 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 | 068.0123812 | VT | Primary |
Addresses
Primary practice location
47 Granite St Apt 2
Barre, VT 05641-4191
Mailing address
47 Granite St Apt 2
Barre, VT 05641-4191
Phone (802) 249-9362
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068.0123812 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1598620544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 GRANITE ST APT 2",
"city": "BARRE",
"state": "VT",
"postal_code": "056414191",
"telephone_number": "802-249-9362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 GRANITE ST APT 2",
"city": "BARRE",
"state": "VT",
"postal_code": "056414191",
"telephone_number": "802-249-9362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIGAN",
"first_name": "MATTHEW",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-22",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068.0123812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.