SARA DEGENNARO MA LCMHC LADCCCS NPI 1386693091

NPI Information

NPI: 1386693091
Provider Name: SARA DEGENNARO, MA, LCMHC, LADC,CCS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
211 N MAIN ST
SUITE B
WHITE RIVER JUNCTION, VT
ZIP 05001
Phone: (802) 233-8755
Get Directions

Sara Degennaro, MA, LCMHC, LADC,CCS is an addiction (substance use disorder) counselor in White River Junction, VT. Sara Degennaro, MA, LCMHC, LADC,CCS NPI is 1386693091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

211 N MAIN ST
SUITE B
WHITE RIVER JUNCTION, VT
ZIP 05001-045
Phone: (802) 233-8755
Fax: (802) 295-8833

The enumeration date for this NPI number is 5/9/2006 and was last updated on 10/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	0680000181	VERMONT	No
2	101YM0800X	Counselor	Mental Health	374	NEW HAMPSHIRE	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0600	NEW HAMPSHIRE	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000059	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1006714	MEDICAID	VERMONT
2	29434	OTHER	VERMONT	MH BC/BS
3	49993	OTHER	VERMONT	SA BC/BS
4	3100214	MEDICAID	NEW HAMPSHIRE
5	30422317	MEDICAID	NEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »