Peggy A Vaquera, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC10336 Issued in CA

Practice address

1306 Riverside Dr
Susanville, CA 96130-4432

Phone

(530) 260-0344

NPI assigned

Dec 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Northeastern Rural Health Clinics

  • Family Medicine Physician
  • Susanville, CA
  • NPI 1477563518
  Medicare reassignment NPD
• Northeastern Rural Health Clinics

  • Family Medicine Physician
  • Westwood, CA
  • NPI 1336150051
  NPD

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1609413756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "STANDISH",
            "state": "CA",
            "postal_code": "961280115",
            "telephone_number": "530-260-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 RIVERSIDE DR",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304432",
            "telephone_number": "530-260-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAQUERA",
        "first_name": "PEGGY",
        "middle_name": "A",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC10336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "peggyvaquera@therapyemail.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "714-850 Sagebrush Blvd",
            "city": "Susanville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "961306721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara Ann Turner, PHARMD
• Indra Uppal, MD
• Surinder Uppal, MD
• Greg Valceschini, M.D.
• Michael C Vanderley
• Allen Kumar Varma, NP
• Vial Physical Therapy, Inc
• Tanya Lyn Villers, APRN, FNP-C
• Linda Vixie, D.D.S.
• Taylor Vixie

• Mental Health Counselor in Susanville, CA
• Providers in Susanville, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.