Active NPI
Vicenta Del Carmen Valero-Jarozewski, LPCC, LADC
- Mental Health Counselor
- Saint Paul, MN
National Provider Identifier
1013661123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC03180
- Practice address
- 871 Jefferson Ave
Saint Paul, MN 55102-2506 - Phone
- (651) 252-1175
- NPI assigned
- Feb 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 305601 | MN | |
| Mental Health Counselor | 101YM0800X | CC03180 | MN | Primary |
Addresses
Primary practice location
871 Jefferson Ave
Saint Paul, MN 55102-2506
Mailing address
871 Jefferson Ave
Saint Paul, MN 55102-2506
Phone (651) 252-1175
Other practice location 1
1551 Payne Ave
Saint Paul, MN 55130-3218
Phone (651) 252-1175
Other names 1
- Ms. Cristina Vicenta Ruud
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305601 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| CC03180 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Healing Place LLC | Mental Health | Current | Accepting new patients |
Locations
871 Jefferson Ave
Saint Paul, MN 55102
Phone (612) 424-9983
871 Jefferson Ave
Ste D
Saint Paul, MN 55102
Phone (651) 252-1175
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Saint Paul, MN
- NPI 1902593676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1013661123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 JEFFERSON AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022506",
"telephone_number": "651-252-1175",
"fax_number": "855-202-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 JEFFERSON AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022506",
"telephone_number": "651-252-1175"
}
],
"practiceLocations": [
{
"address_1": "1551 Payne Ave",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551303218",
"country_code": "US",
"telephone_number": "651-252-1175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALERO-JAROZEWSKI",
"first_name": "VICENTA",
"middle_name": "DEL CARMEN",
"name_prefix": "Ms.",
"credential": "LPCC, LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-08",
"last_updated": "2024-03-28",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "305601",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "CC03180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRISTINA",
"last_name": "RUUD",
"middle_name": "VICENTA",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.