Active NPI
Adriel Vasquez
- Marriage & Family Therapist
- Eugene, OR
National Provider Identifier
1265725956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1790 W 11TH Ave Ste 200
Eugene, OR 97402-3871 - Phone
- (541) 686-2688
- NPI assigned
- May 27, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 66504 | CA | |
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1790 W 11TH Ave Ste 200
Eugene, OR 97402-3871
Mailing address
1790 W 11TH Ave Ste 200
Eugene, OR 97402-3871
Phone (541) 686-2688
Other practice location 1
5030 El Camino Ave
Carmichael, CA 95608-4650
Phone (916) 609-4047
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 |
|---|---|---|---|
| IMF 66504 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1265725956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 W 11TH AVE STE 200",
"city": "EUGENE",
"state": "OR",
"postal_code": "974023871",
"telephone_number": "541-686-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 W 11TH AVE STE 200",
"city": "EUGENE",
"state": "OR",
"postal_code": "974023871",
"telephone_number": "541-686-2688"
}
],
"practiceLocations": [
{
"address_1": "5030 El Camino Ave",
"address_purpose": "LOCATION",
"city": "Carmichael",
"state": "CA",
"postal_code": "956084650",
"country_code": "US",
"telephone_number": "916-609-4047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VASQUEZ",
"first_name": "ADRIEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-27",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 66504",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.