Vanessa Fajardo, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

70771 Issued in TX

Practice address

1925 E Belt Line Rd Ste 258
Carrollton, TX 75006-5801

Phone

(469) 713-2413

NPI assigned

Jun 27, 2017

Reactivated

Sep 16, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1669992061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8908 CRESCENT CT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E BELT LINE RD STE 258",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065801",
            "telephone_number": "469-713-2413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 S Denton Tap Rd Unit 693",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750197129",
            "country_code": "US",
            "telephone_number": "469-713-2413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "VANESSA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2026-09-16",
        "certification_date": "2021-01-04",
        "deactivation_date": "2021-01-04",
        "reactivation_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "70771",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "70771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.