Organization Active NPI

Jessica K. Wright, Lcmhc

  • Mental Health Counselor
  • Randolph, VT
National Provider Identifier
1265196620
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JESSICA K. WRIGHT, LCMHC
Doing business as
Jessica K. Wright, LCMHC
Practice address
28 Pleasant St
Randolph, VT 05060-1265
Phone
(802) 505-8596
NPI assigned
Oct 22, 2021
Last updated
Oct 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Jessica K Wright, LCMHCNPI 1629091715
Title
Provider
Phone
(802) 505-8596

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

28 Pleasant St
Randolph, VT 05060-1265

Mailing address

3488 Thayer Brook Rd
Braintree, VT 05060-9201
Phone (802) 505-8596

Other names 1

  • Jessica K. Wright, LCMHC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240118001482 VT Part B Supplier - Clinic/Group Practice 7719339415 Receives reassigned benefits from 1 practitioner
Practice locations: Randolph, VT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1265196620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3488 THAYER BROOK RD",
            "city": "BRAINTREE",
            "state": "VT",
            "postal_code": "050609201",
            "telephone_number": "802-505-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 PLEASANT ST",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050601265",
            "telephone_number": "802-505-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA K. WRIGHT, LCMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "802-505-8596",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jessica K. Wright, LCMHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Randolph, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.