Individual provider Active NPI

Carmen Isela Vilchis, LPC, LCDC

  • Professional Counselor
  • Miami, FL
National Provider Identifier
1699398610
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
90944 Issued in TX
Practice address
30 SW 108TH Ave Apt G7
Miami, FL 33174-1494
Phone
(682) 223-3087
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 90944 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14562 TX

Addresses

Primary practice location

30 SW 108TH Ave Apt G7
Miami, FL 33174-1494

Mailing address

30 SW 108TH Ave Apt G7
Miami, FL 33174-1494
Phone (682) 223-3087

Other identifiers 1

IdentifierTypeStateIssuer
14661695OtherTXCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address IselaVilchis@outlook.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90944TXMDProfessional Counselor
14562TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Warriors Heart Virginia CurrentSince Aug 27, 2023 Accepting new patients
Warriors Healing Center, LLC PastSince May 1, 2020 Accepting new patients

Locations

756 Purple Sage Rd
Bandera, TX 78003
Phone (830) 225-1622

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1699398610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SW 108TH AVE APT G7",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741494",
            "telephone_number": "682-223-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SW 108TH AVE APT G7",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741494",
            "telephone_number": "682-223-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILCHIS",
        "first_name": "CARMEN",
        "middle_name": "ISELA",
        "credential": "LPC, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90944",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14562",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14661695",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "IselaVilchis@outlook.com",
            "affiliation": "N",
            "endpointDescription": "IselaVilchis@outlook.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30 SW 108th Ave Apt G7",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331741494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.