Venessa Luck, Ma, PLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

VENESSA LUCK, MA, PLC

Practice address

133 Blakely Rd Ste 206
Colchester, VT 05446-3984

Phone

(802) 829-8922

NPI assigned

Jun 11, 2021

Organization subpart

No

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

Authorized official

Name

Venessa C Luck, MANPI 1114578267

Title

Licensed Psychologist- Masters

Phone

(802) 829-8922

Specialties & licenses 1

Addresses

Other names 1

• Venessa Luck, MA, PLC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Venessa Luck, MA

  • Psychologist
  • Colchester, VT
  • NPI 1114578267
  NPD Authorized official

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1104494772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MOHAWK AVE",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523565",
            "telephone_number": "802-829-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BLAKELY RD STE 206",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054463984",
            "telephone_number": "802-829-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENESSA LUCK, MA, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "LUCK",
        "authorized_official_first_name": "VENESSA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST- MASTERS",
        "authorized_official_telephone_number": "802-829-8922",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Venessa Luck, MA, PLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychologist in Colchester, VT
• Providers in Colchester, VT by specialty
• Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.