JENNIFER BEAUDIN (LADC, LCMHC) – Addiction (Substance Use Disorder) Counselor, NPI 1396482345

JENNIFER BEAUDIN (LADC, LCMHC) is a healthcare provider. based in Randolph, Vermont. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LADC, LCMHC. They hold a License No. 068.0134628 (VT). The NPI Number for JENNIFER BEAUDIN (LADC, LCMHC) is 1396482345

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER BEAUDIN (LADC, LCMHC)
NPI
1396482345
Phone
(802) 728-4466
Address
PO BOX G
Enumeration Date
19 May 2022
Last Update Date
9 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8027284466236
Graduation Year
2019 (7 years ago)
PAC ID
1557713336
Group Practice PAC ID
1951395367
Professional Enrollment ID
I20240117001941
Address ID
VT050601126RA11XXXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

357 MENTAL HEALTH COUNSELOR in VT

Provider Addresses for JENNIFER BEAUDIN (LADC, LCMHC)

  • PO BOX G

    RANDOLPH, VT 050600167

    Phone: (802) 728-4466

    Type: Mailing

  • 11 N MAIN ST

    RANDOLPH, VT 050601126

    Phone: (802) 728-4466

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240117001941IMental Health CounselorVTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951395367View full group profile
NameSpecialtyState
Mental Health CounselorVT
Mental Health CounselorVT
-VT
-VT
Mental Health CounselorVT
P S Y C H I A T R YVT
Mental Health CounselorVT
Mental Health CounselorVT
Mental Health CounselorVT
Nurse PractitionerVT

Reviews

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Frequently asked questions

What unique ID ties claims to JENNIFER BEAUDIN (LADC, LCMHC)?
NPI 1396482345 is assigned to JENNIFER BEAUDIN (LADC, LCMHC) under the national enumeration system.
Is JENNIFER BEAUDIN (LADC, LCMHC)'s NPI currently valid?
The extract we use shows JENNIFER BEAUDIN (LADC, LCMHC) as active.
What kind of provider is JENNIFER BEAUDIN (LADC, LCMHC)?
The page reflects Addiction (Substance Use Disorder) Counselor for JENNIFER BEAUDIN (LADC, LCMHC). Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNIFER BEAUDIN (LADC, LCMHC)?
The page summarizes Randolph, Vermont for JENNIFER BEAUDIN (LADC, LCMHC); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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