Active NPI
Sergio Andres Arenas Velasquez, LPC, LMHC
- Professional Counselor
- Matthews, NC
National Provider Identifier
1306187075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13966
- Practice address
- 10801 Monroe Rd
Matthews, NC 28105 - Phone
- (704) 237-4240
- Fax
- (704) 841-3889
- NPI assigned
- Mar 6, 2013
- Last updated
- Sep 7, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 005441 | NY | |
| Professional Counselor | 101YP2500X | 13966 | NC | Primary |
Addresses
Primary practice location
10801 Monroe Rd
Matthews, NC 28105
Mailing address
9408 Copper Hill LN
Charlotte, NC 28269-0321
Phone (347) 821-2041
Other names 1
- Sergio Andres Arenas Velasquez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
173 Huguenot St
Suite 200
New Rochelle, NY 10801-7710
Phone (240) 200-0173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13966 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Your Life CLT Counseling PLLC | Mental Health | Current | Accepting new patients |
| Center for Emotional Health | Past | Accepting new patients | |
| New York Psychotherapy and Counseling Center | Past | Accepting new patients |
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.
-
dba Vida Counseling Center
- Mental Health Counselor
- Concord, NC
- NPI 1649814104
-
- Addiction Psychiatry Physician
- Gastonia, NC
- NPI 1174922348
-
- Community/Behavioral Health Agency
- Jamaica, NY
- NPI 1902811342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1306187075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9408 COPPER HILL LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282690321",
"telephone_number": "347-821-2041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 MONROE RD",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "28105",
"telephone_number": "704-237-4240",
"fax_number": "704-841-3889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARENAS VELASQUEZ",
"first_name": "SERGIO",
"middle_name": "ANDRES",
"credential": "LPC, LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-06",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "005441",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "13966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SERGIO",
"last_name": "ARENAS VELASQUEZ",
"middle_name": "ANDRES",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.