Individual provider Active NPI

Amarillis Yadira Vazquez Morales, MA, LPC, BC-DMT

  • Professional Counselor
  • Gurabo, PR
National Provider Identifier
1689433682
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
004163 Issued in PR
Practice address
950 Carr 189 Ste 2
Gurabo, PR 00778-5179
Phone
(787) 925-2515
NPI assigned
Mar 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 004163 PR Primary

Addresses

Primary practice location

950 Carr 189 Ste 2
Gurabo, PR 00778-5179

Mailing address

PO Box 6060
Caguas, PR 00726-6060
Phone (787) 925-2515

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
004163PRMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1689433682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6060",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266060",
            "telephone_number": "787-925-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CARR 189 STE 2",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007785179",
            "telephone_number": "787-925-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ MORALES",
        "first_name": "AMARILLIS",
        "middle_name": "YADIRA",
        "credential": "MA, LPC, BC-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "004163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.