Organization Active NPI

Joe Vega LLC

  • Counselor
  • New Orleans, LA
National Provider Identifier
1285344143
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
JOE VEGA LLC
Practice address
4209 Canal St Ste 202
New Orleans, LA 70119-5942
Phone
(504) 272-7035
Fax
(985) 781-4319
NPI assigned
Dec 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Mr. Joe Vega, LCSW
Title
Owner
Phone
(908) 227-5171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

4209 Canal St Ste 202
New Orleans, LA 70119-5942

Mailing address

4209 Canal St Ste 202
New Orleans, LA 70119-5942
Phone (504) 272-7035

Other identifiers 1

IdentifierTypeStateIssuer
2406850MedicaidLA

Other names 1

  • JOSE VEGA Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221206000208 LA Part B Supplier - Clinic/Group Practice 3971972498 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

4902 Canal St
Ste 202
New Orleans, LA 70119

4209 Canal St
Ste 202
New Orleans, LA 70119
Phone (504) 272-7035

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1285344143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 CANAL ST STE 202",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195942",
            "telephone_number": "504-272-7035",
            "fax_number": "985-781-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 CANAL ST STE 202",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195942",
            "telephone_number": "504-272-7035",
            "fax_number": "985-781-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE VEGA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-227-5171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2406850",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOSE VEGA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.