JENNIFER ROMANS BURGOON PHD,
NPI 1144343054
Psychologist - Clinical in Bennington, VT

Q: What is Jennifer Burgoon's NPI number?

The NPI number for Jennifer Burgoon is 1144343054. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Q: What is Jennifer Burgoon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Burgoon was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2007PECOS EnrolledAccepts Medicare Assignment

81.52/100

CMS Quality Rating

160 HOSPITAL DR, BENNINGTON, VT 05201(210) 615-3483 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer Romans Burgoon Phd, NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER ROMANS BURGOON PHD, (NPI 1144343054) is an individual clinical provider in Bennington, Vermont, licensed in Vermont (048.0132428) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1144343054

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJENNIFER ROMANS BURGOONCredential: PHD,

Location Address160 HOSPITAL DRBennington, VT 05201-2279

Mailing AddressPo Box 4412Bennington, VT 05201-4412 · (802) 430-8355

Phone(210) 615-3483

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateApril 6, 2007

Last NPPES UpdateSeptember 28, 2021

NPPES CertifiedSeptember 28, 2021

✔ NPI 1144343054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in VT · 048.0132428✔ Licensed in CA · PSY28112

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 51200 (CA)

160 HOSPITAL DR, Bennington, VT 05201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Romans Burgoon Phd, is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779873583

PECOS Enrollment IDI20181107000069

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

1,104 services92 patients

Psychotherapy, 45 minutes 90834

373 services33 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

55 services54 patients

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

40 services34 patients

Psychiatric diagnostic evaluation 90791

33 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.48 typical visit price

range $55.80 – $168.48

Typical copayment $42.12 (range $13.95 – $42.12)

Most-billed visit code 99205

Established Patient

$98.40 typical visit price

range $18.08 – $137.84

Typical copayment $24.60 (range $4.52 – $34.46)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

66.5

Improvement Activities

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARKER ELIZABETH CRANDALL OTRL

Occupational Therapist