Individual provider Active NPI

Vincent Michael Varsh, LPC

  • Professional Counselor
  • Sandy Hook, CT
National Provider Identifier
1184462483
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
007006 Issued in CT
Practice address
13 Berkshire Rd
Sandy Hook, CT 06482-1361
Phone
(203) 491-2577
NPI assigned
Jul 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 007006 CT Primary

Addresses

Primary practice location

13 Berkshire Rd
Sandy Hook, CT 06482-1361

Mailing address

82 Algin Dr
Middlebury, CT 06762-3008
Phone (203) 752-8955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805001499 CT Practitioner - Mental Health Counselor 6901343292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Neurovation Center, LLCGroup PAC ID 2961762000, 3 clinicians

Practice addresses (Care Compare)

13 Berkshire Rd
Unit 1
Sandy Hook, CT 06482-1361
Phone (203) 491-2577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007006CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
John Woodall, MD LLC CurrentSince Jul 21, 2024 Accepting new patients
The Neurovation Center, LLC CurrentSince Jul 25, 2024 Accepting new patients
Western Connecticut Center for Neurofeedback and Counseling, LLC PastSince Jul 25, 2024 Accepting new patients

Locations

13 Berkshire Rd
Sandy Hook, CT 06482
Phone (203) 491-2577

13 Berkshire Rd
#1
Sandy Hook, CT 06482
Phone (203) 491-2577

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1184462483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 ALGIN DR",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067623008",
            "telephone_number": "203-752-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BERKSHIRE RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821361",
            "telephone_number": "203-491-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARSH",
        "first_name": "VINCENT",
        "middle_name": "MICHAEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "007006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Hook, CT

Sources for this page

Verify at the official NPI Registry.