Individual provider Active NPI

Joie Lynette Vecchione Poltl, AMFT

  • Counselor
  • Paso Robles, CA
National Provider Identifier
1841754553
Registry record updated Jan 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
76040 Issued in CA
Practice address
1244 Pine St Ste 218
Paso Robles, CA 93446-7242
Phone
(805) 550-5447
NPI assigned
Jan 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 76040 CA Primary

Addresses

Primary practice location

1244 Pine St Ste 218
Paso Robles, CA 93446-7242

Mailing address

804 Saint Andrews Cir
Paso Robles, CA 93446-4636
Phone (805) 550-5447

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
76040CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548547200000",
    "number": "1841754553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SAINT ANDREWS CIR",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934464636",
            "telephone_number": "805-550-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 PINE ST STE 218",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934467242",
            "telephone_number": "805-550-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VECCHIONE POLTL",
        "first_name": "JOIE",
        "middle_name": "LYNETTE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-27",
        "last_updated": "2019-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "76040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2019; 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.