Blanca Itzel Vela, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

72060 Issued in TX

Practice address

1950 Ephriham Ave
Fort Worth, TX 76164-6670

Phone

(817) 813-7075

NPI assigned

May 24, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Blanca Itzel Favela Moreno Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Infinite Potential Counseling, Inc

  • Mental Health Counselor
  • Round Rock, TX
  • NPI 1003422114
  Medicare reassignment NPD
• Infinite Potential Functional Mental Health LLC

  • Mental Health Counselor
  • Round Rock, TX
  • NPI 1689475048
  Medicare reassignment NPD
• Oak Street Health of Texas, PLLC

  • Primary Care Clinic/Center
  • Fort Worth, TX
  • NPI 1497387419
  Medicare reassignment NPD

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1013364611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15144 ORPHEUS WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453901",
            "telephone_number": "210-363-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 EPHRIHAM AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761646670",
            "telephone_number": "817-813-7075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3740 Colony Dr Ste 122",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782302234",
            "country_code": "US",
            "telephone_number": "210-363-7108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4242 E Piedras Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782281430",
            "country_code": "US",
            "telephone_number": "210-570-9327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELA",
        "first_name": "BLANCA",
        "middle_name": "ITZEL",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLANCA",
            "last_name": "FAVELA MORENO",
            "middle_name": "ITZEL",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diana Vega Torres, CF-SLP
• Vein Rain Infusion P.C.
• Delores Veine
• Jeremy Veine, PTA
• Lucas John Veitzel
• Ricardo Vela, M.D.
• Rachel Velarde, CNM
• Raquel Velasco Marinelarena
• Rubi C Velasquez
• Ancieta V Velky, M.D.

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.