Individual provider Active NPI

Josh Vazquez, MS

  • Mental Health Counselor
  • Sweetwater, FL
National Provider Identifier
1750982153
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22499 Issued in FL
Practice address
1414 NW 107TH Ave Ste 109
Sweetwater, FL 33172-2739
Phone
(786) 762-2952
NPI assigned
Nov 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH22499 FL Primary

Addresses

Primary practice location

1414 NW 107TH Ave Ste 109
Sweetwater, FL 33172-2739

Mailing address

6720 SW 5TH Ter
Miami, FL 33144-3647
Phone (786) 515-4685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131004286 FL Practitioner - Mental Health Counselor 1557714045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lime Counseling LLCGroup PAC ID 8022462209, 2 clinicians

Practice addresses (Care Compare)

432 NW 1St LN
Cape Coral, FL 33993-2400
Phone (904) 601-5463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Organizations & group practices 1

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": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1750982153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 SW 5TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443647",
            "telephone_number": "786-515-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NW 107TH AVE STE 109",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722739",
            "telephone_number": "786-762-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "JOSH",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, FL

Sources for this page

Verify at the official NPI Registry.