Yolanda Fajardo-Vela, M.A. COUNSELING

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0110551 Issued in NM

Practice address

921 E 21St St
Clovis, NM 88101-4443

Phone

(575) 762-0212

NPI assigned

Feb 6, 2008

Last updated

Feb 6, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Yolanda Vela Other name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Courtney Walraven LCSW PLLC

  • Clinical Social Worker
  • Lubbock, TX
  • NPI 1952188542

  Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1356529853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 LINKWOOD",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "575-763-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E 21ST ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014443",
            "telephone_number": "575-762-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO-VELA",
        "first_name": "YOLANDA",
        "credential": "M.A. COUNSELING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0110551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLANDA",
            "last_name": "VELA",
            "credential": "M.A. COUNSELING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Travis Erwin, PTA
• David Collado Estabillo, FNP
• Excelacare Hospice of Eastern New Mexico LLC
• Eye Associates of New Mexico, LTD. (Eye Associates of New Mexico)
• Fairhaven II Quality Assisted Living
• Falcon South Plains Hospice LP (Interim Hospice)
• Familia Dentalclovis LLC (Familia Dental)
• David Wayne Farnsworth, DDS
• Trudy Fehr
• Tammy Fellows, LMHC

• Mental Health Counselor in Clovis, NM
• Providers in Clovis, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.