Individual provider Active NPI

Vincent George Ardizzone, MA, LCMHC

  • Mental Health Counselor
  • Manchester, NH
National Provider Identifier
1124911342
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5212 Issued in NH
Practice address
66 Prospect St
Manchester, NH 03104-3506
Phone
(603) 270-9217
Fax
(603) 270-9217
NPI assigned
May 29, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5212NHMDMental Health Counselor

NPPES NPI Registry

Updated by the provider on May 29, 2025

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 5212 NH Primary

Addresses

Primary practice location

66 Prospect St
Manchester, NH 03104-3506

Mailing address

66 Prospect St
Manchester, NH 03104-3506
Phone (603) 270-9217

Other names 1

  • Mr. Vincent George Ardizzone Professional name

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1124911342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PROSPECT ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043506",
            "telephone_number": "603-270-9217",
            "fax_number": "603-270-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PROSPECT ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043506",
            "telephone_number": "603-270-9217",
            "fax_number": "603-270-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDIZZONE",
        "first_name": "VINCENT",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "MA, LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "5212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VINCENT",
            "last_name": "ARDIZZONE",
            "middle_name": "GEORGE",
            "prefix": "MR.",
            "credential": "MA, LCMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.