Jacqueline F Esancy, LADC, LCMHC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0134335 Issued in VT

Practice address

30 Wilson Rd
Fairfax, VT 05454-4409

Phone

(802) 255-8801

Fax

(802) 491-8230

NPI assigned

Aug 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inherently Good Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Saint Albans, VT
  • NPI 1972166825
  NPD Authorized official
• Howard Center Inc

  • Psychiatry Physician
  • South Burlington, VT
  • NPI 1093005092
  NPD (past)
• Howard Center Inc

  • Methadone Clinic
  • Burlington, VT
  • NPI 1134346687
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1477033207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WILSON RD",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054544409",
            "telephone_number": "802-255-8801",
            "fax_number": "802-491-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WILSON RD",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054544409",
            "telephone_number": "802-255-8801",
            "fax_number": "802-491-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESANCY",
        "first_name": "JACQUELINE",
        "middle_name": "F",
        "credential": "LADC, LCMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "03-997355",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134335",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151-0134045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea C Clark, RN, IBCLC
• Maxwell Crystal
• Sherry Lynne Cushing
• Casey D'Alberto, DPT
• Sarah Desilvey, FNP
• Fairfax Associates in Medicine PLLC
• Fairfax EMS Inc
• Fairfax Family Physical Therapy P.C.
• Fairfax Family Physical Therapy, P.C.
• Crystal Poirier Fisher, LICSW, LADC

• All providers in Fairfax, VT
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.