Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Edmondson, MA

Individual provider Mental Health Counselor · NPI 1477374379

Jacob Edmondson, MA is a Mental Health Counselor in Montpelier, Vermont. Qualified in 2022, 4 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
4
Licensed in
VT
In the registry since
2024
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

149 State St Unit 6
Montpelier, VT 05602-2965
Phone: (802) 522-8298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (VT)

Record details

NPI number1477374379
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedOctober 23, 2024
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing address28 Ridgewood Ter, Barre, VT 05641-9738

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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