Edwin Ruben Vergara-Mego, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401016832 Issued in MI

Practice address

830 Pleasant St Ste 201
Saint Joseph, MI 49085-2279

Phone

(269) 982-3832

NPI assigned

Sep 18, 2018

Last updated

Jan 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Donarski Center for Mental Health CounselingGroup PAC ID 1254727381, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Donarski Center for Mental Health Counseling

  • Mental Health Counselor
  • Saint Joseph, MI
  • NPI 1467113449
  Medicare reassignment Care Compare group NPD
• Family Therapy & Development Centers Inc

  • Mental Health Counselor
  • Saint Joseph, MI
  • NPI 1295916187
  NPD

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1184108904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 PLEASANT ST STE 201",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852279",
            "telephone_number": "269-982-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PLEASANT ST STE 201",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852279",
            "telephone_number": "269-982-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGARA-MEGO",
        "first_name": "EDWIN",
        "middle_name": "RUBEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401016832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Cristine Vaughan, DO
• Andrew Joseph Vaughan, D.O.
• Yojana Veeramasuneni, PSYD
• Geertje Willemijn Veldhuijzen, PHARM.D
• Sarah Naomi Ventimiglia
• Erin Michelle Verhage, RD, CNSC
• Taylor Anne Villani
• Vineland Foodland Inc (Roger's Foodland)
• Collin James Vinson, MD
• Vision Center PC (Robert L FLood OD PC)

• Mental Health Counselor in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.