Active NPI
Graciela Martinez Vela, MA, LPC, LCDC, NCC
- Professional Counselor
- Laredo, TX
National Provider Identifier
1285417022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 83603
- Practice address
- 1319 Corpus Christi St Ste 4
Laredo, TX 78040-5321 - Phone
- (956) 220-7002
- NPI assigned
- Aug 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10008 | TX | |
| Professional Counselor | 101YP2500X | 83603 | TX | Primary |
Addresses
Primary practice location
1319 Corpus Christi St Ste 4
Laredo, TX 78040-5321
Mailing address
3709 Sereno
Laredo, TX 78046-5203
Phone (956) 220-7002
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83603 | TX | MD | Professional Counselor |
| 10008 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1285417022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3709 SERENO",
"city": "LAREDO",
"state": "TX",
"postal_code": "780465203",
"telephone_number": "956-220-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 CORPUS CHRISTI ST STE 4",
"city": "LAREDO",
"state": "TX",
"postal_code": "780405321",
"telephone_number": "956-220-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ VELA",
"first_name": "GRACIELA",
"credential": "MA, LPC, LCDC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "10008",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "83603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.