Individual provider Active NPI

Sheryl Nuccio Vinsun, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • South Yarmouth, MA
National Provider Identifier
1700908860
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2030652 Issued in MA
Practice address
20 Forsythe Ave
South Yarmouth, MA 02664-1814
Phone
(508) 398-5155
Fax
(508) 398-3478
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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 2030652 MA Primary

Addresses

Primary practice location

20 Forsythe Ave
South Yarmouth, MA 02664-1814

Mailing address

32 Blue Jay Dr
Hyannis, MA 02601-3507
Phone (508) 775-6989

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
2030652MAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1700908860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BLUE JAY DR",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013507",
            "telephone_number": "508-775-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FORSYTHE AVE",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641814",
            "telephone_number": "508-398-5155",
            "fax_number": "508-398-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSUN",
        "first_name": "SHERYL",
        "middle_name": "NUCCIO",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "2030652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Yarmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.