Organization Active NPI

Granite Ridge Counseling, LCC

Doing business as Granite Ridge Counseling

  • Mental Health Counselor
  • South Burlington, VT
National Provider Identifier
1679386247
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GRANITE RIDGE COUNSELING, LCC
Doing business as
Granite Ridge Counseling
Practice address
125 Kennedy Dr Apt 13
South Burlington, VT 05403-7289
Phone
(917) 836-0656
NPI assigned
Jan 28, 2025
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Jennifer Debarbieri, MSNPI 1649005083
Title
Owner
Phone
(917) 836-0099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

125 Kennedy Dr Apt 13
South Burlington, VT 05403-7289

Mailing address

125 Kennedy Dr Apt 13
South Burlington, VT 05403-7289
Phone (917) 836-0656

Other names 1

  • Granite Ridge Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1679386247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 KENNEDY DR APT 13",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037289",
            "telephone_number": "917-836-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 KENNEDY DR APT 13",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037289",
            "telephone_number": "917-836-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE RIDGE COUNSELING, LCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "DEBARBIERI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-836-0099",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granite Ridge Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 28, 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.

Verify at the official NPI Registry.