Active NPI
Raquel Leigh Vanloon, LCPC CADC
- Mental Health Counselor
- Miami, FL
National Provider Identifier
1366136756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.015263
- Practice address
- 1395 Brickell Ave
Suite 800
Miami, FL 33131 - Phone
- (310) 299-2040
- NPI assigned
- Jun 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.015263 | IL | Primary |
Addresses
Primary practice location
1395 Brickell Ave
Suite 800
Miami, FL 33131
Mailing address
3456 Salem Walk Apt A1
Northbrook, IL 60062-7345
Phone (708) 759-5411
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 |
|---|---|---|---|
| 180.015263 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1366136756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3456 SALEM WALK APT A1",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600627345",
"telephone_number": "708-759-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 BRICKELL AVE",
"address_2": "SUITE 800",
"city": "MIAMI",
"state": "FL",
"postal_code": "33131",
"telephone_number": "310-299-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANLOON",
"first_name": "RAQUEL",
"middle_name": "LEIGH",
"credential": "LCPC CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-07",
"last_updated": "2023-06-07",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.015263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.