Active NPI
Kaydeen Anne Juaire, LCMHC
- Mental Health Counselor
- Enosburg Falls, VT
National Provider Identifier
1619708955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068.0136059
- Practice address
- 451 Water Tower Rd
Enosburg Falls, VT 05450-6019 - Phone
- (802) 393-1001
- NPI assigned
- Aug 9, 2024
- 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 | 068.0136059 | VT | Primary |
Addresses
Primary practice location
451 Water Tower Rd
Enosburg Falls, VT 05450-6019
Mailing address
451 Water Tower Rd
Enosburg Falls, VT 05450-6019
Phone (802) 393-1001
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068.0136059 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1619708955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 WATER TOWER RD",
"city": "ENOSBURG FALLS",
"state": "VT",
"postal_code": "054506019",
"telephone_number": "802-393-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 WATER TOWER RD",
"city": "ENOSBURG FALLS",
"state": "VT",
"postal_code": "054506019",
"telephone_number": "802-393-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAIRE",
"first_name": "KAYDEEN",
"middle_name": "ANNE",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068.0136059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enosburg Falls, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.