Crescent Moon Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CRESCENT MOON COUNSELING

Doing business as

Elizabeth Bomberger

Practice address

206 Commerce St
Hinesburg, VT 05461-4460

Phone

(802) 355-4620

NPI assigned

May 27, 2020

Last updated

Oct 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Urie Bomberger, LCMHCNPI 1528418613

Title

Mental Health Counselor

Phone

(802) 735-7416

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Bomberger Doing business as

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

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.

• Elizabeth Bomberger, LCMHC

  • Mental Health Counselor
  • Hinesburg, VT
  • NPI 1528418613
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1891318606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 COMMERCE ST",
            "city": "HINESBURG",
            "state": "VT",
            "postal_code": "054614460",
            "telephone_number": "802-735-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 COMMERCE ST",
            "city": "HINESBURG",
            "state": "VT",
            "postal_code": "054614460",
            "telephone_number": "802-355-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT MOON COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "BOMBERGER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "URIE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "802-735-7416",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Bomberger",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elise Cunningham Clancy
• Rachel Elizabeth Clokey
• Julie E Coffey, LCMHC
• Alyssa B Consigli, RD, CSSD
• Hunter Cote
• Kenneth Cudney
• Erika Currier, NP-C
• Denise Guttler Daly, LICSW
• Maureen K Delaney, SLP
• Nicole Devoid

• Professional Counselor in Hinesburg, VT
• Providers in Hinesburg, VT by specialty
• Professional Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.