Individual provider Active NPI

Amarilys Castro-Vega, MSW

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1083392609
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11653 Issued in PR
Practice address
6015 Chester Cir Ste 113
Jacksonville, FL 32217-2270
Phone
(904) 660-2103
Fax
(904) 660-2103
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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 11653 PR Primary

Addresses

Primary practice location

6015 Chester Cir Ste 113
Jacksonville, FL 32217-2270

Mailing address

6015 Chester Cir Ste 113
Jacksonville, FL 32217-2270
Phone (904) 660-2103

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

State licenses

LicenseStateTypeSpecialty
11653PRMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Familia Supporting Hand, LLC Mental Health CurrentSince Jul 9, 2023 Accepting new patients

Locations

6015 Chester Cir
Ste 113
Jacksonville, FL 32217
Phone (904) 660-2103

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1083392609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 CHESTER CIR STE 113",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172270",
            "telephone_number": "904-660-2103",
            "fax_number": "904-660-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 CHESTER CIR STE 113",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172270",
            "telephone_number": "904-660-2103",
            "fax_number": "904-660-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO-VEGA",
        "first_name": "AMARILYS",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PR",
            "license": "11653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.