Jacob Cribbs

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

097.0136631 Issued in VT

Practice address

145 Pine Haven Shores Rd Ste 2157
Shelburne, VT 05482-7813

Phone

(802) 855-1683

NPI assigned

Jan 13, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1124986641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PINE HAVEN SHORES RD UNIT 2517",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827703",
            "telephone_number": "802-855-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PINE HAVEN SHORES RD STE 2157",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827813",
            "telephone_number": "802-855-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIBBS",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "097.0136631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ellen Coffey, ND
• Mindy Lee Cohen, MS PT
• Miles K Colaprete, DC
• Communal Health Services PLLC
• Compassionate Reliable Neighbors LLC
• Dan Melo , DMD , PLC
• Nicole Whitney Davignon, DPT
• Philip J Davignon, M.D.
• Fernando Luis De Jesus Jr., RN
• Michala Dean, PT, DPT

• Mental Health Counselor in Shelburne, VT
• Providers in Shelburne, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.