Individual provider Active NPI

Carla Vasquez -Angeles

  • Mental Health Counselor
  • Corpus Christi, TX
National Provider Identifier
1851004543
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
84878 Issued in TX
Practice address
11814 Yellow Oak Ave
Corpus Christi, TX 78410-6047
Phone
(361) 945-0468
NPI assigned
Dec 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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 84878 TX Primary

Addresses

Primary practice location

11814 Yellow Oak Ave
Corpus Christi, TX 78410-6047

Mailing address

11814 Yellow Oak Ave
Corpus Christi, TX 78410-6047
Phone (361) 945-0468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20240423001995 TX Practitioner - Mental Health Counselor 0840639845 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Distinctive Counseling and Consulting PLLC CurrentSince Mar 10, 2024 Accepting new patients

Locations

4646 Corona Dr
Ste 216
Corpus Christi, TX 78411
Phone (361) 547-5541

422 E Avenue B
Robstown, TX 78380
Phone (361) 547-5541

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": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1851004543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11814 YELLOW OAK AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784106047",
            "telephone_number": "361-945-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11814 YELLOW OAK AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784106047",
            "telephone_number": "361-945-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ -ANGELES",
        "first_name": "CARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "84878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.