Individual provider Active NPI

Jennifer Debarbieri, LADC, LCMHC

  • Mental Health Counselor
  • South Burlington, VT
National Provider Identifier
1649005083
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0136367 Issued in VT
Practice address
125 Kennedy Dr Apt 13
South Burlington, VT 05403-7289
Phone
(917) 836-0656
NPI assigned
Sep 5, 2024
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 151.0134173 VT
Mental Health Counselor 101YM0800X 068.0136367 VT Primary

Addresses

Primary practice location

125 Kennedy Dr Apt 13
South Burlington, VT 05403-7289

Mailing address

125 Kennedy Dr Apt 13
South Burlington, VT 05403-7289

Other names 1

  • Jennifer Debarbieri Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
151.0134173VTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Savida Health, PC CurrentSince Feb 6, 2025 Accepting new patients
Savida Health, PC Current Accepting new patients
Savida Health, PC CurrentSince Feb 6, 2025 Accepting new patients
Granite Ridge Counseling, LCC Mental Health CurrentSince Feb 2, 2025 Accepting new patients

Locations

655 Main St
Ste 2
Bennington, VT 05201
Phone (802) 448-5105

366 Dorset St
Ste 20
South Burlington, VT 05403
Phone (802) 448-5072

Organizations & group practices 4

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": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1649005083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 KENNEDY DR APT 13",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 KENNEDY DR APT 13",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037289",
            "telephone_number": "917-836-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBARBIERI",
        "first_name": "JENNIFER",
        "credential": "LADC, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151.0134173",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0136367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DEBARBIERI",
            "credential": "M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.