Active NPI
Edward Eliphalet Potter
- Mental Health Counselor
- Barre, VT
National Provider Identifier
1942175385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 097.0136457
- Practice address
- 21 Merchant St
Barre, VT 05641-3871 - Phone
- (802) 391-4455
- NPI assigned
- Oct 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 097.0136457 | VT | Primary |
Addresses
Primary practice location
21 Merchant St
Barre, VT 05641-3871
Mailing address
77 Overlake Park
Burlington, VT 05401-4014
Phone (802) 391-4455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097.0136457 | VT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennie Holden PLC | Mental Health | Current | Accepting new patients |
| Jennie Holden PLC | Mental Health | Current | Accepting new patients |
Locations
21 Merchant St
Barre, VT 05641
Phone (802) 272-2545
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1942175385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 OVERLAKE PARK",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054014014",
"telephone_number": "802-391-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 MERCHANT ST",
"city": "BARRE",
"state": "VT",
"postal_code": "056413871",
"telephone_number": "802-391-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "EDWARD",
"middle_name": "ELIPHALET",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "097.0136457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.