MR. DEAN MARK CORCORAN (NPI# 1740382043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740382043 |
| Entity Type | Individual |
| Full Name | MR. DEAN MARK CORCORAN |
| Credential | MA |
| Practice Address |
220 Railroad Street St. Johnsbury VT 05819 |
| Mailing Address |
1423 Peacham Danville Rd Barnet VT 05821-9400 |
| Practice Telephone | 8027481516 |
| Practice Fax Number | 8027481516 |
| Mailing Telephone | 8027481516 |
| Mailing Fax Number | 8027481516 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2015-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 068-0000422 | VT | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000053 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1007051 | 05 |
| Street Address |
220 RAILROAD STREET |
| City | ST. JOHNSBURY |
| State | VT |
| Zip Code | 05819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316180268 | Angela D Ryan-williams | Counselor | 1129 Main St, C/o Penny Kimball, St. Johnsbury, VT 05819 | 2009-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433703 | Front Line Foundations of North America, Inc | Counselor | 1 Hospital Ct Ste 11, Bellows Falls, VT 05101-1489 | 2020-10-07 |
| 1588271977 | Rachel D. Oblak | Counselor | 8031 Williston Rd. Suite 2, Williston, VT 05495 | 2020-09-29 |
| 1013530146 | Megan B Valley | Counselor | 21 Water St Ste 2, Orleans, VT 05860-1324 | 2020-05-23 |
| 1619502648 | Kathleen Baroody | Counselor | 5312 Main Steet, Manchester Center, VT 05255 | 2020-03-10 |
| 1861965519 | Shannon J Rodgers | Counselor | 2236 Jones Rd, Hyde Park, VT 05655-9586 | 2019-01-05 |
| 1992293617 | Paul Nelson | Counselor | 100 Main St Unit 12, Burlington, VT 05401-8475 | 2018-04-27 |
| 1306364278 | Portia Lawrence | Counselor | 139 Main St Ste 612, Brattleboro, VT 05301-2886 | 2017-08-31 |
| 1366965261 | Yvette Amblo | Counselor | 23 Butler Dr, South Burlington, VT 05403-7244 | 2017-07-23 |
| 1356878367 | Brooke Lockwood-cole | Counselor | 10-12 Pearl Street, Essex Junction, VT 05452 | 2017-05-22 |
| 1952837171 | Sarah Schantz | Counselor | 718 Old Hollow Rd, North Ferrisburgh, VT 05473-6010 | 2017-05-08 |
| Find all providers with the same taxonomy | ||||
| City | ST. JOHNSBURY |
| Zip Code | 05819 |
Please comment or provide details below to improve the information on MR. DEAN MARK CORCORAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.