Individual provider Active NPI

Vicenta Del Carmen Valero-Jarozewski, LPCC, LADC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1013661123
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC03180 Issued in MN
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

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114001369 MN Practitioner - Mental Health Counselor 9931633922 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305601MNMDAddiction (Substance Use Disorder) Counselor
CC03180MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Healing Place LLC Mental Health CurrentSince Oct 1, 2024 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.

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

Verify at the official NPI Registry.