Active NPI
Keli Vazquez Brothers, LPC
- Professional Counselor
- Florence, AL
National Provider Identifier
1609252840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3388
- Practice address
- 635 W College St
Florence, AL 35630-5313 - Phone
- (256) 764-3431
- Fax
- (256) 768-7462
- NPI assigned
- Aug 10, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3388 | AL | Primary |
Addresses
Primary practice location
635 W College St
Florence, AL 35630-5313
Mailing address
635 W College St
Florence, AL 35630-5313
Phone (256) 764-3431
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 |
|---|---|---|---|
| 3388 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1609252840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 W COLLEGE ST",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356305313",
"telephone_number": "256-764-3431",
"fax_number": "256-768-7462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 W COLLEGE ST",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356305313",
"telephone_number": "256-764-3431",
"fax_number": "256-768-7462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROTHERS",
"first_name": "KELI",
"middle_name": "VAZQUEZ",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-10",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "3388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.