Venessa Luck, MA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

047-0133678 Issued in VT

Practice address

133 Blakely Rd Ste 206
Colchester, VT 05446-3984

Phone

(802) 829-8922

NPI assigned

Sep 20, 2019

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

Other names 1

• Venessa Deyoung Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Venessa Luck, Ma, PLC

  • Psychologist
  • Colchester, VT
  • NPI 1104494772
  NPD Authorized official

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1114578267",
    "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": [
        {
            "address_1": "1138 Pine St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054015353",
            "country_code": "US",
            "telephone_number": "802-488-6000",
            "fax_number": "802-488-6919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCK",
        "first_name": "VENESSA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "047-0133678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENESSA",
            "last_name": "DEYOUNG",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Emmaleigh Loyer, MS, CCC-SLP
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• Jane A Luria, APRN
• Louise F Lynch, P.T.
• Elizabeth Lyons, LICSW
• Maryanne Mackenzie, PT

• 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.