Individual provider Active NPI

Colette Olivia Vicinanzo

  • Marriage & Family Therapist
  • Concord, NH
National Provider Identifier
1679485940
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
253 Issued in NH
Practice address
76 Fort Eddy Rd Ste 1
Concord, NH 03301-7415
Phone
(630) 484-8497
NPI assigned
Sep 21, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 253 NH Primary

Addresses

Primary practice location

76 Fort Eddy Rd Ste 1
Concord, NH 03301-7415

Mailing address

30 Albin Rd
Bow, NH 03304-3702
Phone (630) 484-8497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1679485940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ALBIN RD",
            "city": "BOW",
            "state": "NH",
            "postal_code": "033043702",
            "telephone_number": "630-484-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 FORT EDDY RD STE 1",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017415",
            "telephone_number": "630-484-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICINANZO",
        "first_name": "COLETTE",
        "middle_name": "OLIVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NH",
            "license": "253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.