SANDRA ELYSA BERNA (NPI# 1790714939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790714939 |
Entity Type | Individual |
Full Name | SANDRA ELYSA BERNA |
Credential | LCMHC |
Practice Address |
67 Fairfield Street Saint Albans VT 05478 |
Mailing Address |
67 Fairfield Street Saint Albans VT 05478-1796 |
Practice Telephone | 8025277494 |
Mailing Telephone | 8025277494 |
Enumeration Date | 2006-07-01 |
Last Update Date | 2010-06-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
334 | NH | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
068-0000508 | VT | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | 1009871 | 05 |
Street Address |
67 FAIRFIELD STREET |
City | SAINT ALBANS |
State | VT |
Zip Code | 05478 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306324710 | Stephanie Paulick-maloney | Audiologist | Northwestern Ear Nose and Throat, 10 Crest Road, St Albans, VT 05478 | 2018-07-30 |
1033632476 | Caroline D Homan | Speech-Language Pathologist | 596 Seymour Road, St. Albans City, VT 05478 | 2017-07-18 |
1891234514 | Baart Behavioral Health Services Inc | Clinic/Center | 242 S Main St, Saint Albans, VT 05478 | 2017-02-14 |
1336492073 | Vermont Medical Sleep Disorders Center, Inc. | Durable Medical Equipment & Medical Supplies | 6 Home Health Circle, Suite2, Saint Albans, VT 05478 | 2012-10-18 |
1598049454 | Genesis Rehab Services | Skilled Nursing Facility | 296 Sheldon Road, Saint Albans, VT 05478 | 2011-10-10 |
1942523576 | Heather Elizabeth Deslauriers | Pharmacist | 164 Swaton Rd, St.albans, VT 05478 | 2010-03-10 |
1154529451 | Elizabeth Maria Felcyn Dupont | Occupational Therapist | 596 Sheldon Road, St Albans, VT 05478 | 2007-07-07 |
1467674580 | James Robert Nelson | Counselor | 92 Fairfield Street, St. Albans, VT 05478 | 2007-05-02 |
1942429519 | Odette Susan Taylor | Physical Therapist | 3 Home Health Circle, St Albans, VT 05478 | 2007-04-24 |
1558588418 | Elizabeth Nelson Dmd PC | Dentist | 10 Mapleville Depot, St. Albans, VT 05478 | 2007-04-19 |
Find all providers in zip 05478 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912309402 | Macedonia Support Network, Inc. | Counselor | 11341 Farmers Blvd, Saint Albans, NY 11412-2425 | 2014-09-16 |
1750639928 | Winston Wallace | Counselor | 11454 198th St, Saint Albans, NY 11412-2821 | 2012-08-20 |
1649403171 | Dianne Vock Duprat | Counselor | 2 Federal St, Suite 109, Saint Albans, VT 05478-2035 | 2009-09-01 |
1104479856 | Troy Parah | Counselor | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2019-07-22 |
1043779259 | Nalini Cheatham | Counselor | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2019-03-18 |
1780148452 | Megan Shedaker | Counselor | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2019-01-28 |
1700388709 | Lance Metayer | Counselor | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2018-03-06 |
1679071146 | Nicole Builta-paradise | Counselor | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2018-01-30 |
1215456256 | Kelly E Hayes | Counselor | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2017-09-11 |
1336662493 | Blaine Matthew Lachance | Counselor | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2017-07-20 |
Find all providers in SAINT ALBANS |
City | SAINT ALBANS |
Zip Code | 05478 |
Please comment or provide details below to improve the information on SANDRA ELYSA BERNA.
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.