Jennifer Sanborn, Ms, Ladc, PLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

JENNIFER SANBORN, MS, LADC, PLC

Doing business as

Jennifer Sanborn

Practice address

274 Davison Rd
Mooers Forks, NY 12959

Phone

(802) 304-0284

NPI assigned

Jan 14, 2025

Last updated

Jan 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Sanborn, MS, LADC, MLADCNPI 1790193985

Title

Owner/Clinician

Phone

(802) 505-0811

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Sanborn Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Sanborn, MS, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Williston, VT
  • NPI 1790193985
  NPD Authorized official

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1881405413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 DAVISON RD",
            "city": "MOOERS FORKS",
            "state": "NY",
            "postal_code": "129592207",
            "telephone_number": "802-505-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 DAVISON RD",
            "city": "MOOERS FORKS",
            "state": "NY",
            "postal_code": "12959",
            "telephone_number": "802-304-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SANBORN, MS, LADC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-12",
        "status": "A",
        "authorized_official_last_name": "SANBORN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "802-505-0811",
        "authorized_official_credential": "MS, LADC, MLADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Sanborn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Theresa Gilmore, LPN
• Karl Papineau

• Addiction (Substance Use Disorder) Counselor in Mooers Forks, NY
• Providers in Mooers Forks, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.