Individual provider Active NPI

Eugenia Inez Vigo, LPC-A

  • Counselor
  • Mauldin, SC
National Provider Identifier
1093346785
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
7231 Issued in SC
Practice address
400 S Main St Ste C
Mauldin, SC 29662-2251
Phone
(864) 553-3083
NPI assigned
Jan 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 7231 SC Primary

Addresses

Primary practice location

400 S Main St Ste C
Mauldin, SC 29662-2251

Mailing address

400 S Main St Ste C
Mauldin, SC 29662-2251
Phone (864) 553-3083

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL genie.vigo@gmail.com Health Information Exchange (HIE)

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
7231SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1093346785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST STE C",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622251",
            "telephone_number": "864-553-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST STE C",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622251",
            "telephone_number": "864-553-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGO",
        "first_name": "EUGENIA",
        "middle_name": "INEZ",
        "name_prefix": "Mrs.",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "7231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "genie.vigo@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "genie.vigo@gmail.com",
            "address_1": "123 Creek Shoals Dr",
            "city": "Simpsonville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296816580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mauldin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.