Individual provider Active NPI

Maranda Marie Vasquez, MA, LPC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1962206953
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
84425 Issued in TX
Practice address
101 W Koenig LN
Austin, TX 78751-1272
Phone
(833) 937-5463
NPI assigned
Apr 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 84425 TX Primary

Addresses

Primary practice location

101 W Koenig LN
Austin, TX 78751-1272

Mailing address

101 W Koenig LN
Austin, TX 78751-1272
Phone (512) 779-5659

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
I20250428001175 TX Practitioner - Mental Health Counselor 0941726558 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
84425TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Action Single Specialty CurrentSince Feb 9, 2025 Accepting new patients

Locations

2800 S Interstate 35
Ste 103
Austin, TX 78704
Phone (512) 826-0773

2800 S Interstate 35
Ste 215
Austin, TX 78704
Phone (512) 330-9444

101 W Koenig Ln
Unit 300
Austin, TX 78751
Phone (512) 565-7750

3802 Cedar Springs Rd
Ste 110
Dallas, TX 75219
Phone (512) 853-9547

730 Isom Rd
Ste 104
San Antonio, TX 78216
Phone (512) 853-9547

Organizations & group practices 2

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": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1962206953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W KOENIG LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511272",
            "telephone_number": "512-779-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W KOENIG LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511272",
            "telephone_number": "833-937-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "MARANDA",
        "middle_name": "MARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.