Jesus Manuel Vega-Cabrera, CASAC-T

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37998 Issued in NY

Practice address

3 Cottage PL
New Rochelle, NY 10801-4201

Phone

(914) 235-6633

NPI assigned

Jul 26, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1013643709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 WASHINGTON AVE APT 209",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574307",
            "telephone_number": "917-645-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COTTAGE PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014201",
            "telephone_number": "914-235-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA-CABRERA",
        "first_name": "JESUS",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "credential": "CASAC-T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "37998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7851",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://lexingtonctr.org/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3 Cottage Pl",
            "city": "New Rochelle",
            "state": "NY",
            "country_code": "US",
            "postal_code": "108014201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yeimy Vasquez
• Marcus Malcolm Vassell
• Richard Anthony Vassell
• Danielle Vasti, MS
• Julie Veetal
• Radica Velazquez
• Vanessa Denise Velazquez, RD, CDN
• Daisy Veloz
• Venustas
• Patricia Valentina Vera

• Addiction (Substance Use Disorder) Counselor in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.