Individual provider Active NPI

Esperanza Ivonne Garibay Vazquez, MA, LMHC, LPC

  • Mental Health Counselor
  • Issaquah, WA
National Provider Identifier
1326601923
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60593133 Issued in WA
Practice address
2149 Shy Bear Way NW Apt 304
Issaquah, WA 98027-5628
Phone
(503) 765-2759
NPI assigned
Apr 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60593133 WA Primary

Addresses

Primary practice location

2149 Shy Bear Way NW Apt 304
Issaquah, WA 98027-5628

Mailing address

2149 Shy Bear Way NW Apt 304
Issaquah, WA 98027-5628
Phone (503) 765-2759

Other practice location 1

13343 NE Bel Red Rd Ste 110
Bellevue, WA 98005-2274
Phone (425) 606-0129

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

LicenseStateTypeSpecialty
LH60593133WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1326601923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 SHY BEAR WAY NW APT 304",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275628",
            "telephone_number": "503-765-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 SHY BEAR WAY NW APT 304",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275628",
            "telephone_number": "503-765-2759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13343 NE Bel Red Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980052274",
            "country_code": "US",
            "telephone_number": "425-606-0129",
            "fax_number": "425-679-0802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARIBAY VAZQUEZ",
        "first_name": "ESPERANZA",
        "middle_name": "IVONNE",
        "credential": "MA, LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60593133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.