Individual provider Active NPI

Loretta M Vasso

  • Addiction (Substance Use Disorder) Counselor
  • Fort Washington, PA
National Provider Identifier
1437693819
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
467135 Issued in PA
Practice address
7237 Hollywood Rd
Fort Washington, PA 19034-1236
Phone
(215) 692-2753
Fax
(215) 643-9800
NPI assigned
Dec 5, 2016
Last updated
Dec 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 467135 PA Primary

Addresses

Primary practice location

7237 Hollywood Rd
Fort Washington, PA 19034-1236

Mailing address

1832 Sharon Rd
Meadowbrook, PA 19046-1125
Phone (215) 692-2753

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

LicenseStateTypeSpecialty
467135PAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1437693819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 SHARON RD",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190461125",
            "telephone_number": "215-692-2753",
            "fax_number": "215-643-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7237 HOLLYWOOD RD",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190341236",
            "telephone_number": "215-692-2753",
            "fax_number": "215-643-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSO",
        "first_name": "LORETTA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "467135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.