Julie A Guerette, MS LCMHC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0680000503 Issued in VT

Practice address

PO Box 417
Lyndonville, VT 05851-0417

Phone

(802) 626-1052

NPI assigned

Apr 26, 2007

Last updated

Feb 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountains of the Moonlight Counseling

  • Mental Health Counselor
  • Lyndonville, VT
  • NPI 1689468480
  NPD Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1942420351",
    "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": "05832",
            "telephone_number": "802-626-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "058510417",
            "telephone_number": "802-626-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERETTE",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "0680000503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007664",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49558",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Geiger, RPH
• Krystal Germaine
• Elham Gharib, RPH
• Stephanie Amber Goodwin, RPH
• Norma-Sue Gossett, BS
• Anna Hoffmann
• Abigail Lehne Kruger Howard
• Illumine Collaborative, LLC
• Jin Li Chan, LCSW, LLC
• Kate T. Kearnan, MSW

• Psychologist in Lyndonville, VT
• Providers in Lyndonville, VT by specialty
• Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.