Active NPI
Carmen Isela Vilchis, LPC, LCDC
- Professional Counselor
- Miami, FL
National Provider Identifier
1699398610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 90944
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14661695 | Other | TX | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90944 | TX | MD | Professional Counselor |
| 14562 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warriors Heart Virginia | Current | Accepting new patients | |
| Warriors Healing Center, LLC | Past | 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.
-
- Substance Abuse Rehabilitation Facility
- Milford, VA
- NPI 1629852959
-
- Substance Abuse Rehabilitation Facility
- Bandera, TX
- NPI 1780048827
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.