Individual provider Active NPI

Kellie Vazquez, MA, NCC, BC-TMH, LPC

  • Professional Counselor
  • Aurora, CO
National Provider Identifier
1003362476
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0013572 Issued in CO
Practice address
2323 S Troy St Ste 3-107
Aurora, CO 80014-1982
Phone
(314) 541-6256
NPI assigned
Aug 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2015002771 MO
School Counselor 101YS0200X MO
Doula 374J00000X
Professional Counselor 101YP2500X CC8420 ME
Professional Counselor 101YP2500X MH21532 FL
Professional Counselor 101YP2500X LPC.0013572 CO Primary

Addresses

Primary practice location

2323 S Troy St Ste 3-107
Aurora, CO 80014-1982

Mailing address

6327 Coventry Dr
Florissant, MO 63033-7914
Phone (904) 750-1229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240415002851 CO Practitioner - Mental Health Counselor 9537555602 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MH21532FLMDProfessional Counselor
CC8420MEMDProfessional Counselor
2015002771MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Village Within, Inc Doula CurrentSince Sep 1, 2023 Accepting new patients
Ensync Partnerships Professional CurrentSince Dec 21, 2017 Accepting new patients

Locations

2323 S Troy St
Ste 3-107
Aurora, CO 80014
Phone (303) 261-8294

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1003362476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6327 COVENTRY DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630337914",
            "telephone_number": "904-750-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S TROY ST STE 3-107",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141982",
            "telephone_number": "314-541-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "KELLIE",
        "credential": "MA, NCC, BC-TMH, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2015002771",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC8420",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH21532",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0013572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.