Raquel Barnes

Individual provider Active NPI Professional Counselor · Ponce, PR

NPI 1861745481 · NPPES record last updated Oct 19, 2012

Key facts

NPI
1861745481
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
10325 (PR)
Practice address
El Tuque, Nueva Vida I79 4a
Ponce, PR 00728-6623
Phone
(787) 473-2167
NPI assigned
Oct 19, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10325PRMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X TAC-II-15-62-8931 PR
Professional Counselor 101YP2500X 10325 PR Yes

Addresses

Primary practice location

El Tuque, Nueva Vida I79 4a
Ponce, PR 00728-6623

Mailing address

El Tuque, Nueva Vida I 79 4a
Ponce, PR 00728-6623
Phone (787) 473-2167

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 19, 2012.

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1861745481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EL TUQUE, NUEVA VIDA I 79 4A",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007286623",
            "telephone_number": "787-473-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EL TUQUE, NUEVA VIDA I79 4A",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007286623",
            "telephone_number": "787-473-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "RAQUEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "TAC-II-15-62-8931",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "10325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

All providers in Ponce, PR · Professional Counselor in Puerto Rico

Sources for this page

Verify at the official NPI Registry.