Active NPI
Roger Vazquez, PHD, LPC, LCDC,HSBCP
- Professional Counselor
- Sugar Land, TX
National Provider Identifier
1649519422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69149
- Practice address
- 402 Julie Rivers Dr
Sugar Land, TX 77478-3144 - Phone
- (281) 277-8811
- Fax
- (281) 277-8827
- NPI assigned
- Feb 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11647 | TX | |
| Mental Health Counselor | 101YM0800X | 69149 | TX | |
| Professional Counselor | 101YP2500X | 69149 | TX | Primary |
Addresses
Primary practice location
402 Julie Rivers Dr
Sugar Land, TX 77478-3144
Mailing address
402 Julie Rivers Dr
Sugar Land, TX 77478-3144
Phone (281) 277-8811
Other practice location 1
5633 S Staples St
Suite 700
Corpus Christi, TX 78411-4646
Phone (361) 814-2001 ext. 123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341269401 | Medicaid | TX |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11647 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 69149 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1649519422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 JULIE RIVERS DR",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783144",
"telephone_number": "281-277-8811",
"fax_number": "281-277-8827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 JULIE RIVERS DR",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783144",
"telephone_number": "281-277-8811",
"fax_number": "281-277-8827"
}
],
"practiceLocations": [
{
"address_1": "5633 S Staples St",
"address_2": "Suite 700",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784114646",
"country_code": "US",
"telephone_number": "361-814-2001 x123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "ROGER",
"name_prefix": "Dr.",
"credential": "PHD, LPC, LCDC,HSBCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "11647",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "69149",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "341269401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.