Active NPI
Red Clover Counseling, LLC
- Mental Health Counselor
- Milton, VT
National Provider Identifier
1962952457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068.0057801
- Legal business name
- RED CLOVER COUNSELING, LLC
- Practice address
- 6 Merrill LN Unit 103
Milton, VT 05468-3324 - Phone
- (207) 478-5446
- NPI assigned
- Oct 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer L. Castonguay, LCMHC
- Title
- Owner
- Phone
- (207) 478-5446
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068.0057801 | VT | Primary |
Addresses
Primary practice location
6 Merrill LN Unit 103
Milton, VT 05468-3324
Mailing address
6 Merrill LN Unit 103
Milton, VT 05468-3324
Phone (207) 478-5446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019925 | Medicaid | VT |
National Provider Directory
National Provider DirectoryLocations
6 Merrill Ln
Unit 103
Milton, VT 05468
Phone (207) 478-5446
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Milton, VT
- NPI 1235416371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475798400000",
"number": "1962952457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 MERRILL LN UNIT 103",
"city": "MILTON",
"state": "VT",
"postal_code": "054683324",
"telephone_number": "207-478-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MERRILL LN UNIT 103",
"city": "MILTON",
"state": "VT",
"postal_code": "054683324",
"telephone_number": "207-478-5446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED CLOVER COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-07",
"last_updated": "2016-10-07",
"status": "A",
"authorized_official_last_name": "CASTONGUAY",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-478-5446",
"authorized_official_credential": "LCMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068.0057801",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019925",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milton, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.