Active NPIIndividual providerSole proprietor

Jennifer Beaudin, LADC, LCMHC

Counselor, Addiction (Substance Use Disorder) in Randolph, Vermont

NPI Number1396482345
Practice location
11 N Main St, Randolph, VT 05060-1126
Fax
—
Last updated
June 9, 2022

Jennifer Beaudin is a Counselor, Addiction (Substance Use Disorder) based in Randolph, VT. Jennifer Beaudin practices in Randolph, VT and has the professional credentials of LADC, LCMHC. The NPI Number for Jennifer Beaudin is 1396482345 and holds a License No. 068.0134628 (VT). The current practice location address for Jennifer Beaudin is 11 N Main St, Randolph, VT 05060-1126 and can be reached out via phone at 802-728-4466.

Provider Profile Details

NPI Number
1396482345
Provider Name
Jennifer Beaudin
Credential
LADC, LCMHC
Provider Entity Type
Individual
Gender
Female
Address
11 N Main St, Randolph, VT 05060-1126
Phone Number
802-728-4466
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
May 19, 2022
Last Update Date
June 9, 2022
Certification Date
June 9, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 N Main St
Randolph, VT 05060-1126
State
Vermont
Zip
05060-1126
Phone Number
802-728-4466
Randolph, VT 05060Get directions →

Provider Business Mailing Address Details

Address
Po Box G
Randolph, VT 05060-0167
City
Randolph
State
VT
Zip
05060-0167
Phone Number
802-728-4466

License Information

License Number (1)
068.0134628
License State (1)
VT
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
151.0134141
License State (2)
VT
Taxonomy (2)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer Beaudin, LADC, LCMHC?

The NPI number of Jennifer Beaudin, LADC, LCMHC is 1396482345. It was assigned on May 19, 2022 and is currently active in the NPPES registry.

What is the specialty of Jennifer Beaudin, LADC, LCMHC?

Jennifer Beaudin, LADC, LCMHC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 068.0134628.

Where does Jennifer Beaudin, LADC, LCMHC practice?

The practice location is 11 N Main St, Randolph, VT 05060-1126. The office can be reached at 802-728-4466 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396482345 directly on the NPPES registry website.

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