Individual provider Active NPI

Jessica L Parker, LCMHC

  • Mental Health Counselor
  • Saint Albans, VT
National Provider Identifier
1629384383
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
107 Fisher Pond Rd
Saint Albans, VT 05478-6286
Phone
(802) 393-6437
NPI assigned
Aug 19, 2010
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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 NU Primary

Addresses

Primary practice location

107 Fisher Pond Rd
Saint Albans, VT 05478-6286

Mailing address

2634 Capital Cir NE
Tallahassee, FL 32308-4106
Phone (850) 694-0365

Other practice location 1

267 Goose Pond Rd
Fairfax, VT 05454-9579
Phone (802) 274-2899

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
I20240729000541 VT Practitioner - Mental Health Counselor 0345786158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Counseling and Support Services IncGroup PAC ID 3678545159, 14 clinicians

Practice addresses (Care Compare)

107 Fisher Pond Rd
Saint Albans, VT 05478-6286
Phone (802) 393-6412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Counseling & Support Services Inc CurrentSince Jun 1, 2024 Accepting new patients
Summit View Counseling Mental Health CurrentSince Aug 25, 2025 Accepting new patients

Locations

107 Fisher Pond Rd
Saint Albans, VT 05478
Phone (802) 393-6412

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": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1629384383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 CAPITAL CIR NE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084106",
            "telephone_number": "850-694-0365",
            "fax_number": "850-997-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FISHER POND RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054786286",
            "telephone_number": "802-393-6437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "267 Goose Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VT",
            "postal_code": "054549579",
            "country_code": "US",
            "telephone_number": "802-274-2899",
            "fax_number": "802-274-2899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.