Active NPI
Second Growth, Inc
- Community/Behavioral Health Agency
- White River Junction, VT
National Provider Identifier
1700268125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 000676
- Legal business name
- SECOND GROWTH, INC
- Practice address
- 205 Billings Farm Rd BLDG 1
White River Junction, VT 05001-5400 - Phone
- (802) 295-9800
- Fax
- (802) 295-9889
- NPI assigned
- Jun 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heidi Anne Postupack
- Title
- Executive Director
- Phone
- (802) 295-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 000676 | VT | Primary |
Addresses
Primary practice location
205 Billings Farm Rd BLDG 1
White River Junction, VT 05001-5400
Mailing address
PO Box 206
Hanover, NH 03755-0206
Phone (802) 295-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000676 | Other | VT | STATE OF VERMONT LICENSE NUMBER |
National Provider Directory
National Provider DirectoryLocations
205 Billings Farm Rd
Bldg 1
White River Junction, VT 05001
Phone (802) 295-9800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- White River Junction, VT
- NPI 1912291121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616112000000",
"number": "1700268125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 206",
"city": "HANOVER",
"state": "NH",
"postal_code": "037550206",
"telephone_number": "802-295-9800",
"fax_number": "802-295-9889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 BILLINGS FARM RD BLDG 1",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050015400",
"telephone_number": "802-295-9800",
"fax_number": "802-295-9889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECOND GROWTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-22",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A",
"authorized_official_last_name": "POSTUPACK",
"authorized_official_first_name": "HEIDI",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "802-295-9800"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VT",
"license": "000676",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF VERMONT LICENSE NUMBER",
"identifier": "000676",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White River Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.