Evelyn Colon-Vazquez, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC017129 Issued in PA

Practice address

313 W Liberty St Ste 224
Lancaster, PA 17603-2766

Phone

(717) 173-9439

Fax

(717) 173-9401

NPI assigned

Apr 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Berks Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Reading, PA
  • NPI 1649525569
  Medicare reassignment NPD
• Advanced Counseling and Research Services LLC

  • Professional Counselor
  • Lancaster, PA
  • NPI 1437479326
  NPD
• Berks Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Reading, PA
  • NPI 1649938283
  NPD
• Berks Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Reading, PA
  • NPI 1770877581
  NPD (past)

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1942997804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WHITE PINE AVE",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195268175",
            "telephone_number": "484-797-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W LIBERTY ST STE 224",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032766",
            "telephone_number": "717-173-9439",
            "fax_number": "717-173-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-VAZQUEZ",
        "first_name": "EVELYN",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC017129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Collins, PSYD
• Lisa Collins
• Lynn Renee Collins
• Patricia Collins, DDS
• Paul T Collura, MD
• Bethany M Colon, MSW, LSW, LCSW
• Jordan Charles Colucci I, LSW
• Patricia Colyott, LPN
• Emily Elizabeth Keely Comanda
• Aaron Michael Combs, MA, LPC

• Mental Health Counselor in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.