Vanessa McClintock, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5204 Issued in CT

Practice address

61 S Main St Ste 214
West Hartford, CT 06107-2486

Phone

(860) 969-2399

Fax

(860) 215-3016

NPI assigned

Feb 27, 2022

Last updated

Nov 3, 2023By 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 1

Addresses

Other names 1

• Vanessa Cavanaugh Former name

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wehamh PCGroup PAC ID 4183097736, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Wehamh PC

  dba Ellie Mental Health

  • Clinical Social Worker
  • West Hartford, CT
  • NPI 1346958683
  Medicare reassignment Care Compare group NPD
• Mindfit Integrative Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Hartford, CT
  • NPI 1578376364
  NPD Authorized official

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

{
    "created_epoch": "1645920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1407502586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 S MAIN ST STE 214",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072486",
            "telephone_number": "860-969-2399",
            "fax_number": "860-215-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 S MAIN ST STE 214",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072486",
            "telephone_number": "860-969-2399",
            "fax_number": "860-215-3016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Middle St",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060107404",
            "country_code": "US",
            "telephone_number": "860-281-0228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "VANESSA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-27",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "CAVANAUGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donyelle Vonise McBride
• Wendy McCabe, P.T.
• Katherine McCarthy-Nowak, PHARM.D.
• Kaitlyn McCarthy, PHARMD
• Drew Elizabeth McClintock
• Kathy A McCloskey, PSY.D.
• Scott Ryan McClure, DDS MS
• Yashiema McClure
• Ian Thomas McColl, PHARM. D
• Mary McCormick, PHARM.D.

• Professional Counselor in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.