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JENNIFER E PELLETIER LADC
NPI 1932532959
Counselor - Addiction (Substance Use Disorder) in Berlin, VT

Active since August 13, 2013PECOS EnrolledAccepts Medicare Assignment
100 HOSPITALITY DRIVE, BERLIN, VT 05602(802) 223-4156(802) 223-4332 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer E Pelletier Ladc NPPES

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

JENNIFER E PELLETIER LADC (NPI 1932532959) is an individual addiction (substance use disorder) provider in Berlin, Vermont, licensed in Vermont (000599) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1932532959
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER E PELLETIERCredential: LADC
Location Address100 HOSPITALITY DRIVEBerlin, VT 05602
Mailing AddressPo Box GRandolph, VT 05060-0167 · (802) 728-4466 · Fax (802) 728-4197
Phone(802) 223-4156
Fax(802) 223-4332
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 13, 2013
✔ NPI 1932532959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in VT · 000599
100 HOSPITALITY DRIVE, Berlin, VT 05602
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer E Pelletier Ladc 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 ID2264715309
PECOS Enrollment IDI20260406000105
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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Pelletier reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gifford Health Care, Inc
21 mi
General Practice
44 SOUTH MAIN ST.
Randolph, VT 05060
  • Reassigned Medicare billing, Vermont enrollment
  • 62 clinicians in this Medicare group
NPI 1013269430 (802) 728-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

DEBRA K WUCIK LADC
Counselor (Addiction (Substance Use Disorder))
100 HOSPITALITY DRIVE
BERLIN, VT 05602
Washington County (802) 223-4156

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Pelletier's NPI number?

The NPI number for Jennifer Pelletier is 1932532959. It was assigned to this individual provider in the NPPES registry on August 13, 2013.

Where is Jennifer Pelletier located?

Jennifer Pelletier practices at 100 Hospitality Drive, Berlin, VT 05602. The listed phone number is (802) 223-4156.

What is Jennifer Pelletier's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jennifer Pelletier enrolled in Medicare?

Yes. Jennifer Pelletier is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jennifer Pelletier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Pelletier reassigns Medicare benefits to Gifford Health Care, Inc (Randolph, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Pelletier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Pelletier accept?

Health plans from Anthem Blue Cross and Blue Shield list Jennifer Pelletier as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Pelletier was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.