Destiny Miranda Vega, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

333 S Flower St
Portland, OR 97239-3797

Phone

(503) 563-8432

Fax

(503) 719-8987

NPI assigned

Aug 23, 2022

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Family Ties Counseling Center

  • Mental Health Counselor
  • Portland, OR
  • NPI 1346667565
  NPD

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1609595636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S FLOWER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393797",
            "telephone_number": "503-563-8432",
            "fax_number": "503-719-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S FLOWER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393797",
            "telephone_number": "503-563-8432",
            "fax_number": "503-719-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "DESTINY",
        "middle_name": "MIRANDA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idalia Vega Pintor
• Jimena Maria Vega Quiroz, QMHP-R
• Daniela Alejandra Vega-Camara
• Andrea Vega-Zamora
• Abrahan Vega, QMHP
• Mayrim Vega
• Michael Vega, MD
• Thelma Sofia Vega, L.P.C
• Carl D Vegas, MD
• Sophia Veis

• Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.