Individual provider Active NPI

Laurie Vachon, LCMHC

  • Mental Health Counselor
  • Wolfeboro Falls, NH
National Provider Identifier
1104249143
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
661 Issued in NH
Practice address
35 Center St
The Office #7
Wolfeboro Falls, NH 03896-3001
Phone
(603) 651-5069
NPI assigned
Jan 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 661 NH Primary

Addresses

Primary practice location

35 Center St
The Office #7
Wolfeboro Falls, NH 03896-3001

Mailing address

PO Box 735
The Office #7
Wolfeboro Falls, NH 03896-0735
Phone (603) 651-5069

Other identifiers 1

IdentifierTypeStateIssuer
3071777MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 29, 2024 through Jan 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
661NHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1104249143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735",
            "address_2": "THE OFFICE #7",
            "city": "WOLFEBORO FALLS",
            "state": "NH",
            "postal_code": "038960735",
            "telephone_number": "603-651-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CENTER ST",
            "address_2": "THE OFFICE #7",
            "city": "WOLFEBORO FALLS",
            "state": "NH",
            "postal_code": "038963001",
            "telephone_number": "603-651-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACHON",
        "first_name": "LAURIE",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3071777",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolfeboro Falls, NH

Sources for this page

Verify at the official NPI Registry.