Vanessa Corbera

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ISW03035 Issued in RI

Practice address

123 Colonial Rd
Providence, RI 02906-2549

Phone

(401) 542-2100

NPI assigned

Aug 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Compass Counseling Center

  • Mental Health Counselor
  • Providence, RI
  • NPI 1609536283
  NPD

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1154797595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2416",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029060416",
            "telephone_number": "401-542-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 COLONIAL RD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062549",
            "telephone_number": "401-542-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "249 Roosevelt Ave",
            "address_2": "SUITE 205",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028602134",
            "country_code": "US",
            "telephone_number": "401-667-6518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBERA",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "ISW03035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Cooper, PH.D., M.P.H.
• Steven Copacino
• Denise A Coppa, NP
• Christopher A Coppola, CRNA
• Lauren Coppola, MA
• Krisha Corbo
• Celeste C Corcoran, MD
• Raymond B. Cord III, PA-C
• Celia Cordeiro, PA-C
• Hailey Rose Cordeiro

• Mental Health Counselor in Providence, RI
• Providers in Providence, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.