Shakira Vasquez, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17846 Issued in FL

Practice address

5512 Fairfax St
Orlando, FL 32812-7732

Phone

(202) 374-0573

Fax

(407) 382-0659

NPI assigned

Dec 27, 2017

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bodhi Tree Therapeutic Services

  • Adult Mental Health Clinic/Center
  • Orlando, FL
  • NPI 1134855869
  NPD

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1669988606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 FAIRFAX ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127732",
            "telephone_number": "202-374-0573",
            "fax_number": "407-382-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 FAIRFAX ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127732",
            "telephone_number": "202-374-0573",
            "fax_number": "407-382-0659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 Cranes Roost Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327013437",
            "country_code": "US",
            "telephone_number": "202-374-0573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "SHAKIRA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-27",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shakira@bodhitreetherapy.org",
            "affiliation": "N",
            "address_1": "5512 Fairfax St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328127732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Giulia Marie Vasquez, PA-C
• Karen Vasquez
• Monika Maureen Vasquez, RBT
• Paula Vasquez, ARNP
• Sarieni Vasquez, COTA
• Vanessa Vasquez
• Unknown Vasundhra
• David J Vaughan, M.D.
• Lisa Vaughan, RRT
• Amy Elizabeth Vaughn, MA, CCC-SLP

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

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

Verify at the official NPI Registry.