NPIMap

Individual provider Active NPI

Virginia F. Velez

  • Addiction (Substance Use Disorder) Counselor
  • Dallas, TX
National Provider Identifier
1811248826
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6571 Issued in TX
Practice address
2636 Walnut Hill LN.
Suite #330
Dallas, TX 75229
Phone
(214) 358-6826
Fax
(214) 358-6873
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6571 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 703049 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 1496-0198 TX

Addresses

Primary practice location

2636 Walnut Hill LN.
Suite #330
Dallas, TX 75229

Mailing address

2636 Walnut Hill Lane
Suite #330
Dallas, TX 76229
Phone (214) 358-6826

Other names 1

  • Ms. Gina F. Velez Professional name

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

State licenses

LicenseStateTypeSpecialty
1496-0198TXMDAddiction (Substance Use Disorder) Counselor
703049TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Life Skills Counseling Addiction (Substance Use Disorder) Past Accepting new patients

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": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1811248826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 WALNUT HILL LANE",
            "address_2": "SUITE #330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "76229",
            "telephone_number": "214-358-6826",
            "fax_number": "214-358-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 WALNUT HILL LN.",
            "address_2": "SUITE #330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75229",
            "telephone_number": "214-358-6826",
            "fax_number": "214-358-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "VIRGINIA",
        "middle_name": "F.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "6571",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "703049",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "1496-0198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "VELEZ",
            "middle_name": "F.",
            "prefix": "MS.",
            "credential": "LCDC,CPS,IDAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.