Sara Degennaro, MA, LCMHC, LADC,CCS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

000059 Issued in VT

Practice address

211 N Main St
Suite B
White River Junction, VT 05001-7045

Phone

(802) 233-8755

Fax

(802) 295-8833

NPI assigned

May 9, 2006

Last updated

Oct 13, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Court Diversion Programs

  • Community/Behavioral Health Agency
  • White River Junction, VT
  • NPI 1114212271
  Authorized official Same address or phone

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1386693091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576",
            "city": "ASCUTNEY",
            "state": "VT",
            "postal_code": "05030",
            "telephone_number": "802-295-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N MAIN ST",
            "address_2": "SUITE B",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050017045",
            "telephone_number": "802-233-8755",
            "fax_number": "802-295-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGENNARO",
        "first_name": "SARA",
        "credential": "MA, LCMHC, LADC,CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000059",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680000181",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "374",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dartmouth Health Home Care, Inc.
• Dartmouth Health Home Care, Inc. (VNH-Visiting Nurse and Hospice for Vermont and New Hampshire)
• Dartmouth Health Home Care, Inc. (VNH-Visiting Nurse and Hospice of Vermont and New Hampshire)
• Julie S Davis, M.D.
• Gary M. De Gasta, LICSW
• Katherine E Demers, LMFT
• Lindsay Ann Demuth, PSY.D.
• Department of Veteran Affairs
• Department of Veterans Affairs
• Department of Veterans Affairs

• Addiction (Substance Use Disorder) Counselor in White River Junction, VT
• Providers in White River Junction, VT by specialty
• Addiction (Substance Use Disorder) Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.