Jose Fidias Vasquez, PH.D., PSY.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60090934 Issued in WA

Practice address

147 Rogers St NW
Olympia, WA 98502-5343

Phone

(360) 352-0064

Fax

(360) 350-3569

NPI assigned

Feb 7, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Healthy Options Counseling Services

  • Community/Behavioral Health Agency
  • Olympia, WA
  • NPI 1912270794
  NPD (past) Authorized official

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1811269772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 LANGRIDGE LOOP NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024423",
            "telephone_number": "360-753-3771",
            "fax_number": "360-350-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 ROGERS ST NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025343",
            "telephone_number": "360-352-0064",
            "fax_number": "360-350-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "JOSE",
        "middle_name": "FIDIAS",
        "name_prefix": "Dr.",
        "credential": "PH.D., PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60090934",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "HP60090870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Varnau, MA, LMHC
• Kaitlyn Varner
• Ann Marie Varpness, CPC
• Constance Dolby Vasek, M.D.
• Sarra Vashchenko, PA-C
• Kaitlan Vasquez
• Johanna L Vasseur
• Michael David Vaughan, CPC
• Jennifer Kathleen Vaughn, LMT
• Natalya A Vaughn, AGACNP-BC

• Mental Health Counselor in Olympia, WA
• Providers in Olympia, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.