Active NPI
Jennifer M Vogel, LICSW
- Counselor
- Vineyard Haven, MA
National Provider Identifier
1366522559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 111 Edgartown Road
Vineyard Haven, MA 02568 - Phone
- (506) 693-7900
- Fax
- (506) 696-0401
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
111 Edgartown Road
Vineyard Haven, MA 02568
Mailing address
111 Edgartown Road
Vineyard Haven, MA 02568
Phone (506) 693-7900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00030241501 | Other | NY | UNIVERA |
| 000506354005 | Other | NY | COMMUNITY BLUE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1366522559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 EDGARTOWN ROAD",
"city": "VINEYARD HAVEN",
"state": "MA",
"postal_code": "02568",
"telephone_number": "506-693-7900",
"fax_number": "506-696-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 EDGARTOWN ROAD",
"city": "VINEYARD HAVEN",
"state": "MA",
"postal_code": "02568",
"telephone_number": "506-693-7900",
"fax_number": "506-696-0401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGEL",
"first_name": "JENNIFER",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00030241501",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE",
"identifier": "000506354005",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vineyard Haven, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.