WAXING CRESCENT COUNSELING, LLC
NPI 1205541133
Counselor - Mental Health in St Johnsbury, VT

Q: What is Waxing Crescent Counseling, LLC's NPI number?

The NPI number for Waxing Crescent Counseling, LLC is 1205541133. It was assigned to this organization in the NPPES registry on January 16, 2023.

Q: What is Waxing Crescent Counseling, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since January 16, 2023

183 ROCKY RDG, ST JOHNSBURY, VT 05819(802) 227-7255 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 16, 2024, Jan 16, 2023 (2 updates tracked since 2023).

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About Waxing Crescent Counseling, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAXING CRESCENT COUNSELING, LLC (NPI 1205541133) is a healthcare organization registered as a mental health in St Johnsbury, Vermont and active in the NPI registry since January 2023. The organization lists Jordan Timmons, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1205541133

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameWAXING CRESCENT COUNSELING, LLC

Location Address183 ROCKY RDGSt Johnsbury, VT 05819-8850

Mailing Address183 Rocky RdgSt Johnsbury, VT 05819-8850 · (802) 227-7255

Phone(802) 227-7255

Organization SubpartNo

Authorized OfficialJordan TimmonsCo-owner · (802) 227-7255

Enumeration DateJanuary 16, 2023

Last NPPES UpdateApril 16, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2023

✔ NPI 1205541133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

183 ROCKY RDG, St Johnsbury, VT 05819

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Waxing Crescent Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Waxing Crescent Counseling, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kaymo Timmons

Mental Health Counselor

NPI 1275863094

183 ROCKY RDG
St Johnsbury, VT 05819

(802) 227-7255

✔ PECOSSame address

Jordan Timmons, LPCC

Mental Health Counselor

NPI 1821647546

2388 UNIVERSITY AVE W STE 202
Saint Paul, MN 55114

(612) 492-1624

✔ PECOS1,042 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waxing Crescent Counseling, LLC's NPI number?

The NPI number for Waxing Crescent Counseling, LLC is 1205541133. It was assigned to this organization in the NPPES registry on January 16, 2023.

Where is Waxing Crescent Counseling, LLC located?

Waxing Crescent Counseling, LLC is located at 183 Rocky Rdg, St Johnsbury, VT 05819. The listed phone number is (802) 227-7255.

What is Waxing Crescent Counseling, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Waxing Crescent Counseling, LLC enrolled in Medicare?

Yes. Waxing Crescent Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Waxing Crescent Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Waxing Crescent Counseling, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Waxing Crescent Counseling, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Waxing Crescent Counseling, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Waxing Crescent Counseling, LLC was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.