Individual provider Active NPI

Jessica K Wright, LCMHC

  • Mental Health Counselor
  • Randolph, VT
National Provider Identifier
1629091715
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068-0000468 Issued in VT
Practice address
28 Pleasant St
Randolph, VT 05060-1265
Phone
(802) 505-8596
NPI assigned
Jul 26, 2006
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068-0000468 VT 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 identifiers 6

IdentifierTypeStateIssuer
1007326MedicaidVT
373342OtherVTTRICARE
14Y000794VT01OtherVTBC/BS OF NH
2052859OtherVTCIGNA
989026COtherVTMVP HEALTHCARE
00048725OtherVTBC/BS OF VT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118002011 VT Practitioner - Mental Health Counselor 3971955683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 S Main St
Randolph, VT 05060-1367
Phone (802) 505-8596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068-0000468VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica K. Wright, Lcmhc Mental Health CurrentSince Jan 1, 2024 Accepting new patients
John T Langfitt LLC PastSince Oct 25, 2025 Accepting new patients

Locations

2 S Main St
Randolph, VT 05060
Phone (585) 831-1461

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1629091715",
    "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": {
        "last_name": "WRIGHT",
        "first_name": "JESSICA",
        "middle_name": "K",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007326",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "373342",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NH",
            "identifier": "14Y000794VT01",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2052859",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHCARE",
            "identifier": "989026C",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF VT",
            "identifier": "00048725",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, VT

Sources for this page

Verify at the official NPI Registry.