Individual provider Active NPI

Betsy Vasquez, MAMHC, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1235672601
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74647 Issued in TX
Practice address
1415 California St
Houston, TX 77006-2602
Phone
(832) 548-5100
Fax
(832) 548-5092
NPI assigned
Dec 2, 2016
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 74647 TX Primary

Addresses

Primary practice location

1415 California St
Houston, TX 77006-2602

Mailing address

22155 Wildwood Park Rd
Apt. 533
Richmond, TX 77469-5200
Phone (917) 715-5126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240329000551 TX Practitioner - Mental Health Counselor 1951749779 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22155 Wildwood Park Rd
Apt 533
Richmond, TX 77469-5225

508 Deep Eddy Ave
Austin, TX 78703-4555

5334 Whitmore St
Fulshear, TX 77441-4135

PO Box
Suite 66308
Houston, TX 77266

PO Box
Suite 66308
Houston, TX 77266-6308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74647TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Eddy Psychotherapy Management, LLC CurrentSince Feb 12, 2025 Accepting new patients
Deep Centered Psychiatry PLLC CurrentSince Feb 12, 2025 Accepting new patients
West Houston Healing Services Professional CurrentSince Oct 23, 2024 Accepting new patients

Locations

4119 Montrose Blvd
Ste 500
Houston, TX 77006
Phone (512) 456-9183

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1235672601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22155 WILDWOOD PARK RD",
            "address_2": "APT. 533",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695200",
            "telephone_number": "917-715-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 CALIFORNIA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062602",
            "telephone_number": "832-548-5100",
            "fax_number": "832-548-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "BETSY",
        "credential": "MAMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.