Organization Active NPI

Mountains of the Moonlight Counseling

  • Mental Health Counselor
  • Lyndonville, VT
National Provider Identifier
1689468480
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOUNTAINS OF THE MOONLIGHT COUNSELING
Practice address
77 Main Street
Lyndonville, VT 05851
Phone
(802) 626-1052
NPI assigned
Apr 7, 2025
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Julie A Guerette, LCMHCNPI 1942420351
Title
Owner
Phone
(802) 274-1376

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 Counselor 101YM0800X Primary

Addresses

Primary practice location

77 Main Street
Lyndonville, VT 05851

Mailing address

PO Box 322
East Burke, VT 05832-0322
Phone (802) 274-1376

National Provider Directory

National Provider Directory

Locations

77 Main St
Lyndonville, VT 05851
Phone (802) 626-1052

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": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1689468480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "EAST BURKE",
            "state": "VT",
            "postal_code": "058320322",
            "telephone_number": "802-274-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MAIN STREET",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "05851",
            "telephone_number": "802-626-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINS OF THE MOONLIGHT COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "GUERETTE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-274-1376",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndonville, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.