
The Counseling Service of Addison County (CSAC) is seeking a Medical Director to join our community mental health practice. This is a unique opportunity to develop and participate in innovative practice models in a small-town Vermont setting.
CSAC is a recognized leader in adopting promising practices such as Open Dialogue, peer based crisis support alternatives, and innovative applications of trauma informed systems work. We value contextualized, relational psychiatric practice integrated within a dynamic, collaborative, and team-oriented environment. Every day here is different! We take pride in our unique approach to building connections, strengthening communities, and fostering meaningful professional practice.
The Medical Director provides leadership to the Psychiatry team and collaborates with a wide variety of colleagues to support high quality client care at all levels of the organization. The responsibilities can be somewhat flexible, depending on your interests and experience, but would include some combination of clinical supervision, direct client care, ensuring compliance with relevant state regulations, acting as liaison to community partners, and advocacy. This position could be part-time or full-time. This is an exciting opportunity to influence the future of psychiatry in Addison County! Full-time salary starting in the range of $200K–$235K.
If you’re a psychiatrist eligible for licensure in Vermont with an interest in shaping the critical services we provide to our community, please respond to Alexa Euler, HR Director, aeuler@csac-vt.org or call 1802 388 6751 x 477 with questions.
Learn more about CSAC here: https://www.csac-vt.org/who_we_are/overview.html
Addison County is a beautiful place to live, with vibrant small town arts and food scenes, plus all the skiing, hiking, and lake paddling you could ask for. More here: https://www.addisoncounty.com/
Please note that this position requires the employee to have an NPI number in order to bill for services. If you do not already have an NPI number, CSAC will apply for one for you as part of credentialing. The federal department of Health and Human Services is responsible for issuing NPI numbers. It’s important to understand that HHS will not issue an NPI number for anyone with unpaid taxes or other federal obligations.
Equal Opportunity Employer

The Counseling Service of Addison County (CSAC) is a local community mental health center located in Middlebury, Vermont. Since 1959, CSAC has been an integral part of the Addison County community.
The Counseling Service offers a wide range of professional mental health and developmental services designed to meet the needs of those seeking help. We are able to provide a multi-disciplinary approach that draws on the expertise of our staff, which includes persons trained in developmental services, substance abuse treatment, psychiatry, psychology, mental health counseling, social work, family therapy, and child therapy.
Our goal is to help people live more productive lives in their communities.
The following Mission Statement and Values were adopted by the CSAC Board of Directors at their October 9th, 1997 Board meeting. The Mission Statement and Values are the result of several staff and community meetings, where input was gathered.
Mission Statement
The Counseling Service of Addison County is committed to promoting stable and safe communities by helping people live emotionally healthy and satisfying lives. We strive to provide the best mental health, substance abuse, and developmental services to improve the quality of life for all community members. We work collaboratively with community organizations to help individuals and families achieve maximum wellness.
Values we commit to:
Treat consumers and employees with courtesy, respect, and dignity
Design services based on people's strengths and capabilities
Listen to and involve consumers, staff, and the community
Respond to the evolving needs of the community and individuals
Focus on problem prevention and early intervention
Provide services which use resources wisely
Create vital roles within our organization for consumers and family members
Offer employees opportunities to grow and advance
Value diversity