Active NPI
Cheryl Vanase, LPC
- Mental Health Counselor
- Watertown, CT
National Provider Identifier
1720437700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 003298
- Practice address
- 68 Main St
Watertown, CT 06795-2223 - Phone
- (401) 490-1753
- NPI assigned
- Jun 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 003298 | CT | Primary |
Addresses
Primary practice location
68 Main St
Watertown, CT 06795-2223
Mailing address
68 Main St
Watertown, CT 06795-2223
Phone (401) 490-1753
Other practice location 1
27 Siemon Company Dr Ste 110-W
Watertown, CT 06795-2654
Phone (401) 490-1753
Other practice location 2
2425 Highland Ave
Fall River, MA 02720-4508
Phone (860) 817-4302
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003298 | CT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1720437700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 MAIN ST",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952223",
"telephone_number": "401-490-1753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 MAIN ST",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952223",
"telephone_number": "401-490-1753"
}
],
"practiceLocations": [
{
"address_1": "27 Siemon Company Dr Ste 110-W",
"address_purpose": "LOCATION",
"city": "Watertown",
"state": "CT",
"postal_code": "067952654",
"country_code": "US",
"telephone_number": "401-490-1753",
"fax_number": "401-490-1753",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2425 Highland Ave",
"address_purpose": "LOCATION",
"city": "Fall River",
"state": "MA",
"postal_code": "027204508",
"country_code": "US",
"telephone_number": "860-817-4302",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANASE",
"first_name": "CHERYL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "003298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.