Individual provider Active NPI

Elena Michelle Sutfin Vanzandt, MED, MLADC, CPS, SAP

  • Addiction (Substance Use Disorder) Counselor
  • Canaan, NH
National Provider Identifier
1972830123
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LADC#0608
Practice address
44 Roberts Road
Canaan, NH 03741
Phone
(603) 359-3321
Fax
(603) 523-8804
NPI assigned
Nov 9, 2009
Last updated
Nov 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MED#0608 NH
Addiction (Substance Use Disorder) Counselor 101YA0400X LADC#0608 Primary

Addresses

Primary practice location

44 Roberts Road
Canaan, NH 03741

Mailing address

44 Roberts Rd
Canaan, NH 03741-7644
Phone (603) 523-8804

Other practice location 1

220 Vine St
Northfield, VT 05663-6751
Phone (603) 523-8804

Other practice location 2

1 School St Ste E&f
Lebanon, NH 03766-1601
Phone (603) 523-8804

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ElenaVanZandt@HALOEducationalSystems.com Health Information Exchange (HIE)
CONNECT URL ElenaVanZandt@HALOEducationalSystems.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314003775 NH Practitioner - Mental Health Counselor 2466886098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

44 Roberts Rd
Canaan, NH 03741-7644
Phone (603) 359-3321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
MED#0608NHMDCounselor
0608NHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Halo Educational Systems LLC. Counselor CurrentSince Sep 14, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elenavanzandt@haloeducationalsystems.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1972830123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 ROBERTS RD",
            "city": "CANAAN",
            "state": "NH",
            "postal_code": "037417644",
            "telephone_number": "603-523-8804",
            "fax_number": "603-523-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 ROBERTS ROAD",
            "city": "CANAAN",
            "state": "NH",
            "postal_code": "03741",
            "telephone_number": "603-359-3321",
            "fax_number": "603-523-8804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Vine St",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "VT",
            "postal_code": "056636751",
            "country_code": "US",
            "telephone_number": "603-523-8804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 School St Ste E&f",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037661601",
            "country_code": "US",
            "telephone_number": "603-523-8804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANZANDT",
        "first_name": "ELENA",
        "middle_name": "MICHELLE SUTFIN",
        "name_prefix": "Ms.",
        "credential": "MED, MLADC, CPS, SAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2021-11-02",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NH",
            "license": "MED#0608",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "LADC#0608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ElenaVanZandt@HALOEducationalSystems.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "44 Roberts Road",
            "city": "Canaan",
            "state": "NH",
            "country_code": "US",
            "postal_code": "03741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ElenaVanZandt@HALOEducationalSystems.com",
            "affiliation": "N",
            "endpointDescription": "Director /owner encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "44 Roberts Road",
            "city": "Canaan",
            "state": "NH",
            "country_code": "US",
            "postal_code": "03741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canaan, NH

Sources for this page

Verify at the official NPI Registry.