Individual provider Active NPI

Roberto Andre Vazquez Salas, LPC

  • Professional Counselor
  • Sumter, SC
National Provider Identifier
1326679606
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11505 Issued in SC
Practice address
26 Wesmark CT
Sumter, SC 29150-1996
Phone
(803) 883-4981
Fax
(803) 883-5492
NPI assigned
Jan 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11505 SC Primary

Addresses

Primary practice location

26 Wesmark CT
Sumter, SC 29150-1996

Mailing address

3760 Patriot Pkwy Apt 2K
Sumter, SC 29154-9807
Phone (839) 287-3068

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
11505SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Chiropractic LLC Chiropractor CurrentSince Feb 2, 2020 Accepting new patients

Locations

5140 Sunset Blvd
Ste A
Lexington, SC 29072
Phone (803) 609-8503

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1326679606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 PATRIOT PKWY APT 2K",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291549807",
            "telephone_number": "839-287-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WESMARK CT",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501996",
            "telephone_number": "803-883-4981",
            "fax_number": "803-883-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ SALAS",
        "first_name": "ROBERTO",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-27",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "11505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.