Individual provider Active NPI

Jennifer Elizabeth Coke, MA LCMHC

  • Mental Health Counselor
  • Brattleboro, VT
National Provider Identifier
1962008581
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0136565 Issued in VT
Practice address
51 Fairview Street
Brattleboro, VT 05301-4809
Phone
(802) 254-6028
Fax
(802) 254-7501
NPI assigned
Dec 9, 2020
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 097.0134958 VT
Community Health Worker 172V00000X
Mental Health Counselor 101YM0800X 068.0136565 VT Primary

Addresses

Primary practice location

51 Fairview Street
Brattleboro, VT 05301-4809

Mailing address

390 River Street
Springfield, VT 05156-2226
Phone (802) 886-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20260204002907 NH Practitioner - Mental Health Counselor 8820577471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maps Counseling Services IncGroup PAC ID 8628061660, 13 clinicians

Practice addresses (Care Compare)

23 Central SQ
Suite 300
Keene, NH 03431-3707
Phone (603) 355-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068.0136565VTMDMental Health Counselor
097.0134958VTMDProfessional Counselor
5573NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maps Counseling Services, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Health Care & Rehabilitation Services of SE VT Inc. PastSince Apr 3, 2022 Accepting new patients
Health Care and Rehabilitation Services of Southeastern Vermont, Inc. PastSince Dec 24, 2023 Accepting new patients
Health Care and Rehabilitation Services of Southeastern Vermont, Inc. PastSince Dec 24, 2023 Accepting new patients

Locations

23 Central Sq
#300
Keene, NH 03431
Phone (603) 355-2244

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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1962008581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 RIVER STREET",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562226",
            "telephone_number": "802-886-4500",
            "fax_number": "802-886-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 FAIRVIEW STREET",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053014809",
            "telephone_number": "802-254-6028",
            "fax_number": "802-254-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKE",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "credential": "MA  LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VT",
            "license": "097.0134958",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0136565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.