Active NPI
Jenifer Ann Graham, BSW
- Mental Health Counselor
- Rutland, VT
National Provider Identifier
1265384382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 097.0136851
- Practice address
- 36 Freeman Ave
Rutland, VT 05701-4608 - Phone
- (802) 772-0700
- NPI assigned
- Feb 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 097.0136851 | VT | Primary |
Addresses
Primary practice location
36 Freeman Ave
Rutland, VT 05701-4608
Mailing address
36 Freeman Ave
Rutland, VT 05701-4608
Phone (802) 772-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097.0136851 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1265384382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 FREEMAN AVE",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014608",
"telephone_number": "802-772-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 FREEMAN AVE",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014608",
"telephone_number": "802-772-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "JENIFER",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "BSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-11",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "097.0136851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.