Active NPI
Teresa Aylin Vasquez
- Counselor
- Clovis, CA
National Provider Identifier
1154050516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1788 Celeste Ave
Clovis, CA 93611-2069 - Phone
- (559) 243-7002
- NPI assigned
- Jun 9, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1788 Celeste Ave
Clovis, CA 93611-2069
Mailing address
1585 Deborah LN
Madera, CA 93637-8646
Other practice location 1
2291 N Hazel Ave
Fresno, CA 93722-5562
Phone (559) 243-7002
Other practice location 2
3138 W Barstow Ave
Fresno, CA 93711-2603
Phone (559) 243-7002
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 |
|---|---|---|---|
| Kyjo Enterprises, Inc. | Current | Accepting new patients | |
| Kyjo Enterprises, Inc. | Past | Accepting new patients | |
| Kyjo Enterprises, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Clovis, CA
- NPI 1356933857
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1407448905
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1831781343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1154050516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1585 DEBORAH LN",
"city": "MADERA",
"state": "CA",
"postal_code": "936378646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1788 CELESTE AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936112069",
"telephone_number": "559-243-7002"
}
],
"practiceLocations": [
{
"address_1": "2291 N Hazel Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937225562",
"country_code": "US",
"telephone_number": "559-243-7002",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3138 W Barstow Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937112603",
"country_code": "US",
"telephone_number": "559-243-7002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VASQUEZ",
"first_name": "TERESA",
"middle_name": "AYLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-09",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.