Organization Active NPI

Lavina Velasco Counseling, PLLC

  • Community/Behavioral Health Agency
  • Champaign, IL
National Provider Identifier
1013630193
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LAVINA VELASCO COUNSELING, PLLC
Practice address
2516 Waterville Dr
Champaign, IL 61822-7416
Phone
(217) 990-8309
NPI assigned
Sep 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Lavina Velasco, LCPCNPI 1578047999
Title
Owner
Phone
(217) 991-8309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2516 Waterville Dr
Champaign, IL 61822-7416

Mailing address

1717 W Kirby Ave # 401
Champaign, IL 61821-5507
Phone (217) 990-8309

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1013630193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W KIRBY AVE # 401",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618215507",
            "telephone_number": "217-990-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 WATERVILLE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227416",
            "telephone_number": "217-990-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVINA VELASCO COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "LAVINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-991-8309",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.