Active NPI
Paola Teresa Velazquez, MS, LPC, LCDC
- Counselor
- Laredo, TX
National Provider Identifier
1467148759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 82177
- Practice address
- 1700 Hendricks Ave
Laredo, TX 78040-4609 - Phone
- (956) 568-7105
- NPI assigned
- Apr 11, 2023
- 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 | 15437 | TX | |
| Counselor | 101Y00000X | 82177 | TX | Primary |
Addresses
Primary practice location
1700 Hendricks Ave
Laredo, TX 78040-4609
Mailing address
1410 Sambar Loop
Laredo, TX 78045-7147
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82177 | TX | MD | Counselor |
| 15437 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1467148759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 SAMBAR LOOP",
"city": "LAREDO",
"state": "TX",
"postal_code": "780457147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 HENDRICKS AVE",
"city": "LAREDO",
"state": "TX",
"postal_code": "780404609",
"telephone_number": "956-568-7105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "PAOLA",
"middle_name": "TERESA",
"credential": "MS, LPC, LCDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "15437",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "82177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.