Individual provider Active NPI

Yanira Aviles-Olivo, MMHC

  • Mental Health Counselor
  • Carolina, PR
National Provider Identifier
1053737254
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2557 Issued in PR
Practice address
Avenida Roberto Clemente
132 #13 Villa Carolina
Carolina, PR 00985
Phone
(787) 925-1465
NPI assigned
Mar 12, 2014
Last updated
Mar 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2557 PR Primary

Addresses

Primary practice location

Avenida Roberto Clemente
132 #13 Villa Carolina
Carolina, PR 00985

Mailing address

Avenida Roberto Clemente
132 #13 Villa Carolina
Carolina, PUERTO RICO 00985
UM
Phone (787) 925-1465

Other names 1

  • Yanira Aviles-Olivo Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1053737254",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "AVENIDA ROBERTO CLEMENTE",
            "address_2": "132 #13 VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PUERTO RICO",
            "postal_code": "00985",
            "telephone_number": "787-925-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA ROBERTO CLEMENTE",
            "address_2": "132 #13 VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-925-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES-OLIVO",
        "first_name": "YANIRA",
        "credential": "MMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PR",
            "license": "2557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YANIRA",
            "last_name": "AVILES-OLIVO",
            "credential": "COUNSELOR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.