Stephanie MW Vazzano, MS, LCMHC, ATR-BC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

994 Issued in NH

Practice address

21 Green St
Concord, NH 03301-4000

Phone

(603) 225-2985

NPI assigned

Jul 19, 2010

Last updated

Jun 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Mental Health Center of Greater Manchester

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, NH
  • NPI 1609848811
  NPD
• Healthfirst Family Care Center, Inc.

  dba Isaiah 61 Cafe

  • Federally Qualified Health Center (FQHC)
  • Laconia, NH
  • NPI 1972203347
  NPD (past)
• The Lakes Region Mental Health Center, Inc.

  dba Genesis Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laconia, NH
  • NPI 1902994866
  NPD (past)

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1114230257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GREEN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014000",
            "telephone_number": "603-225-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GREEN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014000",
            "telephone_number": "603-225-2985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Church St",
            "address_purpose": "LOCATION",
            "city": "Laconia",
            "state": "NH",
            "postal_code": "032463432",
            "country_code": "US",
            "telephone_number": "603-524-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Wall St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "03101",
            "country_code": "US",
            "telephone_number": "603-668-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZZANO",
        "first_name": "STEPHANIE",
        "middle_name": "MW",
        "credential": "MS, LCMHC, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sreemali Vasantha, DMD
• Raven Vasquez
• Dawna Vaughan, MS, OTR/L
• Patrick Berry Vaughan, DDS
• Rachel Vaughan, LICSW
• Eric E Velasquez, PA-C
• Lisa Velazquez Cunningham
• Paige Velie
• Marie Vena
• Joseph G Venus, M.D.

• Mental Health Counselor in Concord, NH
• Providers in Concord, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.