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

Per Ordal Eisenman

Individual provider Mental Health Counselor · NPI 1104565985

Per Ordal Eisenman is a Mental Health Counselor in Middlebury, Vermont. Graduated from University of Vermont College of Medicine in 2020, 6 years ago. Practices with Counseling Service of Addison County Inc, a 14-clinician group and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
6
Trained at
University of Vermont College of Medicine
Licensed in
VT
In the registry since
2022
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Practice location Address checks out

67 Catamount Park
Middlebury, VT 05753-1397
Phone: (802) 388-6751
Fax: (802) 388-8183
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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 · Licence 0680134620 (VT)

Record details

NPI number1104565985
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 1, 2022
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022
Mailing address89 Main St, Middlebury, VT 05753-1483

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Counseling Service Of Addison County Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Middlebury