Active NPI
Barry Vissell
- Professional Counselor
- Aptos, CA
National Provider Identifier
1629405360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- G-028812
- Practice address
- 755 Redwood Heights Rd
Aptos, CA 95003-9587 - Phone
- (831) 684-2130
- NPI assigned
- Sep 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | G-028812 | CA | Primary |
Addresses
Primary practice location
755 Redwood Heights Rd
Aptos, CA 95003-9587
Mailing address
755 Redwood Heights Rd
Aptos, CA 95003-9587
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 |
|---|---|---|---|
| G-028812 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1629405360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 REDWOOD HEIGHTS RD",
"city": "APTOS",
"state": "CA",
"postal_code": "950039587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 REDWOOD HEIGHTS RD",
"city": "APTOS",
"state": "CA",
"postal_code": "950039587",
"telephone_number": "831-684-2130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISSELL",
"first_name": "BARRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-26",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "G-028812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aptos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.