Christopher P Jackson, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0136841 Issued in VT

Practice address

23 Summer St
Barre, VT 05641-3741

Phone

(802) 479-4055

Fax

(802) 661-5699

NPI assigned

May 20, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington County Mental Health Services IncGroup PAC ID 8123010121, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Washington County Mental Health Services, Inc.

  • Community/Behavioral Health Agency
  • Berlin, VT
  • NPI 1922026996

  Mental Health

  Medicare reassignment Care Compare group NPD
• Washington County Mental Health Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Montpelier, VT
  • NPI 1568210276

  Mental Health

  NPD

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1750120804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056010647",
            "telephone_number": "802-479-4055",
            "fax_number": "802-661-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SUMMER ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056413741",
            "telephone_number": "802-479-4055",
            "fax_number": "802-661-5699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Barre St",
            "address_purpose": "LOCATION",
            "city": "Montpelier",
            "state": "VT",
            "postal_code": "056023510",
            "country_code": "US",
            "telephone_number": "802-301-3200",
            "fax_number": "802-828-3983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "286 Hospital Loop",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "VT",
            "postal_code": "056029523",
            "country_code": "US",
            "telephone_number": "802-229-0591",
            "fax_number": "802-223-3667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "P",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0136841",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ibey
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• Roger P. Inboden, BA
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• Trista F. Jackson
• James J. Crumbaker, DDS PC
• Jennie Holden PLC
• Jennie Holden PLC
• Jennifer Cetin Counseling, LLC

• Mental Health Counselor in Barre, VT
• Providers in Barre, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.