Active NPI
Thelma Sofia Vega, L.P.C
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1326488545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C2834
- Practice address
- 6124 SE Milwaukie Ave
Portland, OR 97202-5347 - Phone
- (503) 888-3679
- NPI assigned
- Jul 2, 2013
- Last updated
- Jan 5, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
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 |
|---|---|---|---|
| C2834 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thelma Vega LLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Portland, OR
- NPI 1457121642
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.