Active NPIIndividual providerSole proprietor

Sara Degennaro, MA, LCMHC, LADC, CCS

Counselor, Addiction (Substance Use Disorder) in White River Junction, Vermont

NPI Number1386693091
Practice location
211 N Main St, Suite B, White River Junction, VT 05001-7045
Fax
802-295-8833
Last updated
October 13, 2015

Sara Degennaro is a Counselor, Addiction (Substance Use Disorder) based in White River Junction, VT. Sara Degennaro practices in White River Junction, VT and has the professional credentials of MA, LCMHC, LADC, CCS. The NPI Number for Sara Degennaro is 1386693091 and holds a License No. 000059 (VT). The current practice location address for Sara Degennaro is 211 N Main St, Suite B, White River Junction, VT 05001-7045 and can be reached out via phone at 802-233-8755 and via fax at 802-295-8833.

Provider Profile Details

NPI Number
1386693091
Provider Name
Sara Degennaro
Credential
MA, LCMHC, LADC, CCS
Provider Entity Type
Individual
Gender
Female
Address
211 N Main St, Suite B, White River Junction, VT 05001-7045
Phone Number
802-233-8755
Fax Number
802-295-8833
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
May 9, 2006
Last Update Date
October 13, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
211 N Main St
Suite B
White River Junction, VT 05001-7045
State
Vermont
Zip
05001-7045
Phone Number
802-233-8755
Fax Number
802-295-8833
White River Junction, VT 05001Get directions →

Provider Business Mailing Address Details

Address
Po Box 576
Ascutney, VT 05030
City
Ascutney
State
VT
Zip
05030
Phone Number
802-295-0755

License Information

License Number (1)
000059
License State (1)
VT
Taxonomy (1)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
License Number (2)
0600
License State (2)
NH
License Number (3)
0680000181
License State (3)
VT
Taxonomy (3)
Counselor, Mental Health · 101YM0800X
License Number (4)
374
License State (4)
NH
Taxonomy (4)
Counselor, Mental Health · 101YM0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sara Degennaro, MA, LCMHC, LADC, CCS?

The NPI number of Sara Degennaro, MA, LCMHC, LADC, CCS is 1386693091. It was assigned on May 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Sara Degennaro, MA, LCMHC, LADC, CCS?

Sara Degennaro, MA, LCMHC, LADC, CCS is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 000059.

Where does Sara Degennaro, MA, LCMHC, LADC, CCS practice?

The practice location is 211 N Main St, Suite B, White River Junction, VT 05001-7045. The office can be reached at 802-233-8755 (phone) or 802-295-8833 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386693091 directly on the NPPES registry website.

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