Michael Jude Brandli, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0134355 Issued in VT

Practice address

65 Main St
Wells River, VT 05081-3000

Phone

(802) 757-2325

Fax

(802) 757-3215

NPI assigned

Sep 14, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT, NH2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Little Rivers Health Care, Inc.Group PAC ID 8224031497, 30 clinicians

Counseling Associates of New London PLLCGroup PAC ID 0042369910, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Little Rivers Health Care, Inc.

  • Primary Care Clinic/Center
  • Bradford, VT
  • NPI 1033163555
  Medicare reassignment Care Compare group NPD
• Counseling Associates of New London PLLC

  • Mental Health Counselor
  • New London, NH
  • NPI 1205055365
  Medicare reassignment Care Compare group NPD
• Little Rivers Health Care, Inc.

  • Clinical Social Worker
  • Newbury, VT
  • NPI 1356807465
  NPD
• Little Rivers Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Corinth, VT
  • NPI 1962161745
  NPD
• Little Rivers Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newbury, VT
  • NPI 1376119966
  NPD (past)
• Little Rivers Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wells River, VT
  • NPI 1861640161
  NPD (past)
• Little Rivers Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Corinth, VT
  • NPI 1972751279
  NPD (past)
• Dartmouth-Hitchcock Clinic

  • Internal Medicine Physician
  • Lebanon, NH
  • NPI 1548210198
  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1689344459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "WELLS RIVER",
            "state": "VT",
            "postal_code": "050810338",
            "telephone_number": "802-757-2325",
            "fax_number": "802-757-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MAIN ST",
            "city": "WELLS RIVER",
            "state": "VT",
            "postal_code": "050813000",
            "telephone_number": "802-757-2325",
            "fax_number": "802-757-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDLI",
        "first_name": "MICHAEL",
        "middle_name": "JUDE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Mountain School Union
• Karla Boone, DPT
• Marlene M. Bristol, ARNP
• Mia Lynn Brown
• Madison Elizabeth Culver, APRN
• Stephen H. Genereaux, M.D.
• Elizabeth Sue Haskell, LPN

• Mental Health Counselor in Wells River, VT
• Providers in Wells River, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.