Jared Pendak
Individual provider Active NPI Professional Counselor · Springfield, VT
NPI 1356205017 · NPPES record last updated Dec 16, 2025
Key facts
- NPI
- 1356205017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 390 River St
Springfield, VT 05156-2226 - Phone
- (802) 886-4500
- Fax
- (802) 886-4500
- NPI assigned
- Dec 16, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
390 River St
Springfield, VT 05156-2226
Mailing address
390 River St
Springfield, VT 05156-2226
Phone (802) 886-4500
Other providers in Springfield, VT
- Codi Patrie
- Merryl Emily Pauly
- Lester Gale Peck
- Kathryn A Pedersen
- Nicole Pelletier
- Vanessa L. Perry
- Dana L Petersen
- Anthony Pasquale Petrillo
- Shannon H Phibbs
- Katie Marie Phillips
All providers in Springfield, VT · Professional Counselor in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.