NPIMap

Organization Active NPI

Villaverde Counseling and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bancroft, MI
National Provider Identifier
1346906310
Registry record updated Nov 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
VILLAVERDE COUNSELING AND WELLNESS
Practice address
2960 Winegar Rd
Bancroft, MI 48414-9756
Phone
(517) 303-4185
NPI assigned
Nov 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2021

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

Authorized official

Name
Angelica Hernandez, LPCNPI 1275943763
Title
Owner
Phone
(989) 327-4744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2960 Winegar Rd
Bancroft, MI 48414-9756

Mailing address

2960 Winegar Rd
Bancroft, MI 48414-9756
Phone (517) 303-4185

Other identifiers 1

IdentifierTypeStateIssuer
6401011899OtherMILICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address villaverdecounselingandwellness@outlook.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636761600000",
    "number": "1346906310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 WINEGAR RD",
            "city": "BANCROFT",
            "state": "MI",
            "postal_code": "484149756",
            "telephone_number": "517-303-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 WINEGAR RD",
            "city": "BANCROFT",
            "state": "MI",
            "postal_code": "484149756",
            "telephone_number": "517-303-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAVERDE COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-13",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-327-4744",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "6401011899",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "villaverdecounselingandwellness@outlook.com",
            "affiliation": "N",
            "address_1": "2960 Winegar Rd",
            "city": "Bancroft",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484149756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bancroft, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2021; 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.