Active NPI
Vincent Oliver Vargas
- Addiction (Substance Use Disorder) Counselor
- Greenville, SC
National Provider Identifier
1023655164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1400 Cleveland St
Greenville, SC 29607-2410 - Phone
- (864) 371-1265
- Fax
- (864) 467-2011
- NPI assigned
- Dec 9, 2019
- Last updated
- Dec 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary |
Addresses
Primary practice location
1400 Cleveland St
Greenville, SC 29607-2410
Mailing address
2950 E North St Apt 900I
Greenville, SC 29615-1898
Phone (704) 622-8342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strock Medical Group LLC | Multi-Specialty | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1023655164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 E NORTH ST APT 900I",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296151898",
"telephone_number": "704-622-8342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 CLEVELAND ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072410",
"telephone_number": "864-371-1265",
"fax_number": "864-467-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "VINCENT",
"middle_name": "OLIVER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-09",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.