Active NPI
Shelley Vasquez, LPC
- Professional Counselor
- Sandston, VA
National Provider Identifier
1609948181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 701001818
- Practice address
- 1 W Williamsburg Rd
Sandston, VA 23150-2009 - Phone
- (804) 908-2532
- Fax
- (804) 343-1613
- NPI assigned
- Nov 14, 2006
- 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 | 701001818 | VA | Primary |
Addresses
Primary practice location
1 W Williamsburg Rd
Sandston, VA 23150-2009
Mailing address
1 W Williamsburg Rd
Sandston, VA 23150-2009
Phone (804) 864-1320
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 |
|---|---|---|---|
| 701001818 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415145600000",
"number": "1609948181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W WILLIAMSBURG RD",
"city": "SANDSTON",
"state": "VA",
"postal_code": "231502009",
"telephone_number": "804-864-1320",
"fax_number": "804-864-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W WILLIAMSBURG RD",
"city": "SANDSTON",
"state": "VA",
"postal_code": "231502009",
"telephone_number": "804-908-2532",
"fax_number": "804-343-1613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "SHELLEY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2014-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "701001818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.