Ana Ivette Vallecillos

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

T-LPC3356 Issued in KS

Practice address

426 S Cottonwood St
Emporia, KS 66801-4848

Phone

(620) 757-9399

NPI assigned

Jan 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Healthy Thoughts for Growth Counseling LLC

  • Professional Counselor
  • Emporia, KS
  • NPI 1851130470
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1952874356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 S COTTONWOOD ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668014848",
            "telephone_number": "620-757-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 S COTTONWOOD ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668014848",
            "telephone_number": "620-757-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLECILLOS",
        "first_name": "ANA",
        "middle_name": "IVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "T-LPC3356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T-LPC3356",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy L Tucker, MD
• Matthew John Turner, M.D., M.S.P.H.
• John Ulrey
• Unified School District No. 253
• Unified School District No. 253
• Patricia Ann Vazquez, APRN
• Marisleysis Velazquez
• Viacare Home Health, LLC
• Melvin Kile Viney Jr., APRN-BC
• Mary Beth Voorhees, RN

• Professional Counselor in Emporia, KS
• Providers in Emporia, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.