Individual provider Active NPI

Patricia Mestas Vigil, PHD

  • Counseling Psychologist
  • Fort Collins, CO
National Provider Identifier
1497184915
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1494 Issued in CO
Practice address
5815 Auburn Dr
Fort Collins, CO 80525-4169
Phone
(970) 219-1836
Fax
(970) 491-1077
NPI assigned
Nov 5, 2013
Last updated
Nov 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1494 CO Primary

Addresses

Primary practice location

5815 Auburn Dr
Fort Collins, CO 80525-4169

Mailing address

5815 Auburn Dr
Fort Collins, CO 80525-4169
Phone (970) 219-1836

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1494COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1497184915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 AUBURN DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254169",
            "telephone_number": "970-219-1836",
            "fax_number": "970-491-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 AUBURN DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254169",
            "telephone_number": "970-219-1836",
            "fax_number": "970-491-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESTAS VIGIL",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "1494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.