Active NPI
Joanna Vela, LCDC, LPC
- Addiction (Substance Use Disorder) Counselor
- San Antonio, TX
National Provider Identifier
1356797641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 12076
- Practice address
- 21802 Broken Elm
San Antonio, TX 78259-2282 - Phone
- (210) 267-1665
- Fax
- (800) 508-0086
- NPI assigned
- May 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12076 | TX | Primary |
| Mental Health Counselor | 101YM0800X | 69058 | TX |
Addresses
Primary practice location
21802 Broken Elm
San Antonio, TX 78259-2282
Mailing address
10615 Perrin Beitel Rd Ste 802
San Antonio, TX 78217-3142
Phone (210) 267-1665
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 |
|---|---|---|---|
| 12076 | TX | MD | Professional Counselor |
| 69058 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Arredondo LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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.
-
- Professional Counselor
- Garden Ridge, TX
- NPI 1013355791
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462406400000",
"number": "1356797641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10615 PERRIN BEITEL RD STE 802",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782173142",
"telephone_number": "210-267-1665",
"fax_number": "800-508-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21802 BROKEN ELM",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782592282",
"telephone_number": "210-267-1665",
"fax_number": "800-508-0086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELA",
"first_name": "JOANNA",
"credential": "LCDC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-05",
"last_updated": "2016-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "12076",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "69058",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.