Active NPI
Nancy Rae Polseno
- Mental Health Counselor
- Brattleboro, VT
National Provider Identifier
1376879387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0680000251
- Practice address
- 14 Park PL
Second Floor
Brattleboro, VT 05301-2821 - Phone
- (802) 254-1234
- NPI assigned
- Oct 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0680000251 | VT | Primary |
Addresses
Primary practice location
14 Park PL
Second Floor
Brattleboro, VT 05301-2821
Mailing address
14 Park PL
Second Floor
Brattleboro, VT 05301-2821
Phone (802) 254-1234
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0680000251 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1376879387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 PARK PL",
"address_2": "SECOND FLOOR",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053012821",
"telephone_number": "802-254-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 PARK PL",
"address_2": "SECOND FLOOR",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053012821",
"telephone_number": "802-254-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLSENO",
"first_name": "NANCY",
"middle_name": "RAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-26",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "0680000251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.