Active NPI
Joyce Vanessa Roque, MA, LPC, LCDC
- Professional Counselor
- Laredo, TX
National Provider Identifier
1760071278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 79166
- Practice address
- 518 Campanario LN
Laredo, TX 78043-5103 - Phone
- (956) 319-6901
- NPI assigned
- Jan 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12553 | TX | |
| Professional Counselor | 101YP2500X | 79166 | TX | Primary |
Addresses
Primary practice location
518 Campanario LN
Laredo, TX 78043-5103
Mailing address
PO Box 3001
Laredo, TX 78044-3001
Phone (956) 319-6901
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12553 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 79166 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1760071278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3001",
"city": "LAREDO",
"state": "TX",
"postal_code": "780443001",
"telephone_number": "956-319-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 CAMPANARIO LN",
"city": "LAREDO",
"state": "TX",
"postal_code": "780435103",
"telephone_number": "956-319-6901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROQUE",
"first_name": "JOYCE",
"middle_name": "VANESSA",
"credential": "MA, LPC, LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "12553",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "79166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.