Individual provider Active NPI

Thelma Sofia Vega, L.P.C

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1326488545
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2834 Issued in OR
Practice address
6124 SE Milwaukie Ave
Portland, OR 97202-5347
Phone
(503) 888-3679
NPI assigned
Jul 2, 2013
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X C2834 OR Primary

Addresses

Primary practice location

6124 SE Milwaukie Ave
Portland, OR 97202-5347

Mailing address

1931 SE Marion St
Portland, OR 97202-7353
Phone (503) 888-3679

Other names 1

  • Thelma Vega LLC VI Other name

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

LicenseStateTypeSpecialty
C2834ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thelma Vega LLC Mental Health CurrentSince Jan 14, 2024 Accepting new patients

Locations

6124 SE Milwaukie Ave
Portland, OR 97202
Phone (503) 694-4614

Organizations & group practices 1

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1326488545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 SE MARION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027353",
            "telephone_number": "503-888-3679",
            "fax_number": "888-977-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025347",
            "telephone_number": "503-888-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "THELMA",
        "middle_name": "SOFIA",
        "name_prefix": "Mrs.",
        "credential": "L.P.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THELMA",
            "last_name": "VEGA LLC",
            "suffix": "VI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.