Active NPI
Silvia Teresa Gallo Vazquez, LPC
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1104998533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC11801
- Practice address
- 5745 W Campbell Ave
Phoenix, AZ 85031-1842 - Phone
- (602) 999-7898
- Fax
- (480) 820-7863
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC11801 | AZ | Primary |
Addresses
Primary practice location
5745 W Campbell Ave
Phoenix, AZ 85031-1842
Mailing address
13415 W Citrus CT
Litchifield Park, AZ 85340
Phone (602) 999-7898
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LISAC10617 | Other | AZ | THERAPIST |
| LPC11801 | Other | AZ | THERAPIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC11801 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1104998533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13415 W CITRUS CT",
"city": "LITCHIFIELD PARK",
"state": "AZ",
"postal_code": "85340",
"telephone_number": "602-999-7898",
"fax_number": "480-820-7863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5745 W CAMPBELL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850311842",
"telephone_number": "602-999-7898",
"fax_number": "480-820-7863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLO VAZQUEZ",
"first_name": "SILVIA",
"middle_name": "TERESA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC11801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPIST",
"identifier": "LISAC10617",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPIST",
"identifier": "LPC11801",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.