Angel Vaccaro, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC014029 Issued in PA

Practice address

224 Kamehameha Ave
Hilo, HI 96720-2860

Phone

(808) 825-4214

NPI assigned

Aug 13, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MMG Counseling LLC

  • Professional Counselor
  • Dunmore, PA
  • NPI 1871190090
  NPD

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1720634017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 MONROE AVE STE 204",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092477",
            "telephone_number": "570-483-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 KAMEHAMEHA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202860",
            "telephone_number": "808-825-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCARO",
        "first_name": "ANGEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC014029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Hawaii at Manoa (University of Hawaii at Hilo Student Medical Service)
• John K Uohara, MD
• Usrc Hilo, LLC (U.S. Renal Care Hilo Dialysis)
• Dayton Ak Uyeda, ATC
• Harmony Uyehara, RN
• Nicole Deirdre Vahai
• Ryan Placido Valenciano, DPT
• Angel Valeros
• Vally Medical Group, Apc
• Zain Vally-Mahomed, MD

• Mental Health Counselor in Hilo, HI
• Providers in Hilo, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.