With our baseline needs assessment, we aim to identify current and future addiction treatment needs and barriers in rural Vermont counties with direct input from practitioners, policymakers, and other stakeholders working in rural communities. The online survey was conducted in two rounds: April 28 – May 31, 2020 and July 27 – August 31, 2020. The first round focused primarily on practitioners and community stakeholders working in Health Resources & Services Administration (HRSA)-designated rural counties in Vermont, and the second focused primarily on practitioners working in non-rural counties. This report compares the responses of rural and non-rural practitioners.