Savanna O'Connor, LCMHC
Individual provider Active NPI Mental Health Counselor · Jericho, VT
NPI 1679159784 · NPPES record last updated Mar 19, 2021
Key facts
- NPI
- 1679159784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 068.0134305 (VT)
- Practice address
- 59 Fields LN
Jericho, VT 05465-9627 - Phone
- (518) 569-3369
- NPI assigned
- Mar 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068.0134305 | VT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068.0134305 | VT | Yes |
Addresses
Primary practice location
59 Fields LN
Jericho, VT 05465-9627
Mailing address
PO Box 1057
Jericho, VT 05465-1057
Phone (518) 569-3369
Other providers in Jericho, VT
- Elise Minadeo
- Mount Mansfield Counseling Services LLC
- Mount Mansfield Unified Union School District
- Janelle Moynihan
- Leah Marie Nyaletey
- Paul D. Dunkling, DDS
- Gregory Penney
- Allison K Peterson
- Alisa T Quiet
- Marcia Ellen Reese
All providers in Jericho, VT · Mental Health Counselor in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.