Vidal A. Garibay, LPC, LASAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13054 Issued in AZ

Practice address

2501 S Arizona Ave
Yuma, AZ 85364-7332

Phone

(928) 341-4300

Fax

(928) 344-4456

NPI assigned

Nov 4, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Excel Group

  dba Arizona Avenue Clinic

  • Community/Behavioral Health Agency
  • Yuma, AZ
  • NPI 1609959311
  NPD (past)

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1184878134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250A E 40TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853657748",
            "telephone_number": "928-341-0335",
            "fax_number": "928-539-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S ARIZONA AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647332",
            "telephone_number": "928-341-4300",
            "fax_number": "928-344-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARIBAY",
        "first_name": "VIDAL",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "LPC, LASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "13057",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "13054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Carlos Garcia, B.S, MED HR
• Garcia's Wellness LLC
• Caroline Clark Garden, LCSW
• Andrea Marie Gardenhire, M.S., SLP
• Carmen Garibay, RBT
• James L Garland, M.D.
• Myra Elaine Garlit, M. ED., LISAC
• Garner Thorson Dental, PLLC (Gila Ridge Dental)
• Stephen S Garner, DMD
• Grace Anne Surprise Garratt, MD

• Professional Counselor in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.