With our baseline needs assessment, we aim to identify current and future addiction treatment needs and barriers in New Hampshire with direct input from practitioners, policymakers, and other stakeholders. The online survey was conducted from October 2020 to March 2021. This report includes responses from practitioners and community stakeholders working in all counties in New Hampshire, highlighting rural counties designated by the Health Resources & Services Administration (HRSA). Throughout the report, we compare practitioner responses by rural and non-rural work location, as well as by role type (i.e., counselors compared to clinicians), and buprenorphine waiver status of practitioners who can prescribe medication (i.e., waivered practitioners compared to non-waivered practitioners). We present the latter two comparisons both statewide and among rural practitioners only.