VEJEN BRUNO-LASANTA (NPI# 1780081265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780081265 |
| Entity Type | Individual |
| Full Name | VEJEN BRUNO-LASANTA |
| Practice Address |
507 Electric Ave Fitchburg MA 01420-5371 |
| Practice Telephone | 9785037520 |
| Mailing Telephone | 9785037520 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1303295 | 05 | |
| MA | 1307576 | 05 | |
| MA | BLUE CROSS BLUE SHIELD | M18463 | 01 |
| Street Address |
507 ELECTRIC AVE |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420-5371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790178218 | Michael Serrano | Counselor | 507 Electric Ave, Fitchburg, MA 01420-5371 | 2015-03-09 |
| 1780077206 | Adlin Carmona | Counselor | 507 Electric Ave, Fitchburg, MA 01420-5371 | 2015-03-09 |
| 1760870828 | Valerie Rivera-santiago | Counselor | 507 Electric Ave, Fitchburg, MA 01420-5371 | 2014-12-24 |
| 1760880363 | Dariana Quinones | Counselor | 507 Electric Ave, Fitchburg, MA 01420-5371 | 2014-12-12 |
| 1669870267 | Amarilis Rivera | Counselor | 507 Electric Ave, Fitchburg, MA 01420-5371 | 2014-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| Find all providers in zip 01420 | ||||
| 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 |
|---|---|---|---|---|
| 1881247617 | Lauren Jean Slater | Counselor | 405 Sheldon Rd, Fitchburg, MA 01420-1812 | 2019-07-21 |
| 1598229072 | Michelle L Birdwell | Counselor | 454 Westminster St, Fitchburg, MA 01420-4724 | 2019-01-29 |
| 1447768205 | Alexandrea Dawn Hall | Counselor | 245 River St Apt 342, Fitchburg, MA 01420-3469 | 2018-01-15 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1326431537 | Fatima Sanchez-almonte | Counselor | 142 Crescent St., Fitchburg, MA 02301 | 2015-03-12 |
| 1205258936 | Cheryl Glendell Cole | Counselor | 139 Pratt Rd, Fitchburg, MA 01420-4141 | 2014-01-15 |
| 1962765867 | Caitlin G. Mosman Block | Counselor | 2961 Yarmouth Greenway Dr Ste B, Fitchburg, WI 53711-5809 | 2012-06-17 |
| 1821394131 | Anthony Lee Wilson | Counselor | 356b Broad St, Fitchburg, MA 01420-3054 | 2011-02-03 |
| 1720688781 | Allexys Burbo | Counselor | 545 Westminster St, Fitchburg, MA 01420-4766 | 2020-10-29 |
| 1164020905 | Karen Clara Reynoso Recio | Counselor | 625 Main St, Fitchburg, MA 01420-3496 | 2020-10-14 |
| Find all providers in FITCHBURG | ||||
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| 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.