Elizabeth Erin Vicente, LICSW MLADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

753 Chestnut St
Manchester, NH 03104-3011

Phone

(603) 836-5004

NPI assigned

Aug 15, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 28, 2024 through Feb 29, 2028

Medicare enrollment (NPD)

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.

• Elizabeth E Vicente Licsw Mladc PLLC

  • Community/Behavioral Health Agency
  • Salem, NH
  • NPI 1205259595
  NPD (past) Authorized official

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1215129176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GREYSTONE TER",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031062186",
            "telephone_number": "603-731-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 CHESTNUT ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043011",
            "telephone_number": "603-836-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENTE",
        "first_name": "ELIZABETH",
        "middle_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "LICSW MLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81263595",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Vermette, PSY.D.
• Adam James Vernadakis, M.D.
• Molly M. Vesey, RN
• Veternan'S Adminstrative Medical Center
• Vibrant ABA NH LLC
• Victory Distributors LLC
• Victory Distributors LLC
• Victory Distributors LLC
• Victory Distributors, LLC
• Victory Distributors, LLC

• Mental Health Counselor in Manchester, NH
• Providers in Manchester, 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 Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.