Individual provider Active NPI

Sandra S. Vergez, M.A., N.C.C., L.P.C.

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1659547305
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1123 Issued in CO
Practice address
15942 Longmeadow LN
Colorado Springs, CO 80921-3709
Phone
(719) 330-4256
NPI assigned
May 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1123 CO Primary

Addresses

Primary practice location

15942 Longmeadow LN
Colorado Springs, CO 80921-3709

Mailing address

15942 Longmeadow LN
Colorado Springs, CO 80921-3709
Phone (719) 330-4256

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
1123COMDHealth Service Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1659547305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15942 LONGMEADOW LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213709",
            "telephone_number": "719-330-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15942 LONGMEADOW LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213709",
            "telephone_number": "719-330-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGEZ",
        "first_name": "SANDRA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "M.A., N.C.C., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "1123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.