Elizabeth Lee Vines

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

700 Frederick St Ste 103
Santa Cruz, CA 95062-2239

Phone

(831) 996-1222

Fax

(831) 417-0443

NPI assigned

Jun 20, 2020

Last updated

Jun 20, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• New Perspectives Center for Counseling

  • Marriage & Family Therapist
  • Santa Cruz, CA
  • NPI 1588498455
  NPD
• Shine a Light Counseling Center, Inc

  • Community/Behavioral Health Agency
  • Watsonville, CA
  • NPI 1689058349
  NPD

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

{
    "created_epoch": "1592611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592611200000",
    "number": "1437775962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 FREDERICK ST STE 103",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622239",
            "telephone_number": "831-996-1222",
            "fax_number": "831-417-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FREDERICK ST STE 103",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622239",
            "telephone_number": "831-996-1222",
            "fax_number": "831-417-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINES",
        "first_name": "ELIZABETH",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-20",
        "last_updated": "2020-06-20",
        "certification_date": "2020-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zharick Villasenor
• Jarold Villegas
• Joanna Villegas
• Guadalupe Villicana
• Angela R Vincent
• Timothy James Violago, ATC
• Colette R Virostko
• Nancy Jeanne Virostko, L.C.S.W
• Teri Lynn Virostko, LMFT
• Kristina Visic, D.D.S.

• Student in an Organized Health Care Education/Training Program in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.