Organization Active NPI

Complete Circle Counseling

  • Health Maintenance Organization
  • Jericho, VT
National Provider Identifier
1235684101
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
104440 Issued in VT
Legal business name
COMPLETE CIRCLE COUNSELING
Practice address
113 VT 15
Jericho, VT 05465-4413
Phone
(802) 745-9603
NPI assigned
Aug 22, 2016
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Jessa J Carpenter, MS, ADCNPI 1992156442
Title
Alcohol and Drug Counselor
Phone
(802) 748-5364

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)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 104440 VT Primary

Addresses

Primary practice location

113 VT 15
Jericho, VT 05465-4413

Mailing address

113 VT 15
Jericho, VT 05465-4413
Phone (802) 745-9603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241016000514 VT Part B Supplier - Clinic/Group Practice 2567994585 Receives reassigned benefits from 1 practitioner
Practice locations: Jericho, VT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1235684101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 VT 15",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054654413",
            "telephone_number": "802-745-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 VT 15",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054654413",
            "telephone_number": "802-745-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CIRCLE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "JESSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ALCOHOL AND DRUG COUNSELOR",
        "authorized_official_telephone_number": "802-748-5364",
        "authorized_official_credential": "MS, ADC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VT",
            "license": "104440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.