CARLOS SANTIAGO VEGA (NPI# 1275013005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275013005 |
Entity Type | Individual |
Full Name | CARLOS SANTIAGO VEGA |
Practice Address |
17 Sw Frazer Ave Ste 282 Pendleton OR 97801-0048 |
Practice Telephone | 5412786330 |
Practice Fax Number | 5412785419 |
Mailing Telephone | 5412786330 |
Mailing Fax Number | 5412785419 |
Enumeration Date | 2018-08-21 |
Last Update Date | 2018-08-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942531330 | Carlos Gabriel Vega | Pharmacy Technician | Hc01 Box 5488, Ba. Pesas, Ciales, PR 00638-0000 | 2010-01-25 |
1699331835 | Carlos A Vega | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2019-05-14 |
1992825061 | Carlos Jesus Vega | Psychologist | 1298 E Avenida Grande, Casa Grande, AZ 85222-1006 | 2007-03-30 |
Street Address |
17 SW FRAZER AVE STE 282 |
City | PENDLETON |
State | OR |
Zip Code | 97801-0048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245432319 | Amy D. Hayes | Counselor | 17 Sw Frazer Ave Ste 282, Pendleton, OR 97801-0048 | 2007-06-01 |
1194351817 | Roxanna J Barnes | Peer Specialist | 17 Sw Frazer Ave Ste 282, Pendleton, OR 97801-0048 | 2020-03-13 |
1215569371 | Maria Marvella Ugarte | Counselor | 17 Sw Frazer Ave Ste 282, Pendleton, OR 97801-0048 | 2020-02-06 |
1942849344 | Aubrey M Buzzi | Counselor | 17 Sw Frazer Ave Ste 282, Pendleton, OR 97801-0048 | 2020-01-02 |
1144867458 | June S Hills | Peer Specialist | 17 Sw Frazer Ave Ste 282, Pendleton, OR 97801-0048 | 2019-12-05 |
1417504671 | Joliea R. Hernandez | Counselor | 17 Sw Frazer Ave Ste 282, Pendleton, OR 97801-0048 | 2019-08-22 |
1538628433 | Heather Sunshine Mason | Counselor | 17 Sw Frazer Ave Ste 282, Pendleton, OR 97801-0048 | 2019-03-19 |
1548729320 | Maximo Bedolla | Counselor | 17 Sw Frazer Ave Ste 282, Pendleton, OR 97801-0048 | 2019-03-19 |
1093274581 | Ashlee E.j. Palacios | Counselor | 17 Sw Frazer Ave Ste 282, Pendleton, OR 97801-0048 | 2019-03-14 |
1982161089 | Mariela Carrillo | Counselor | 17 Sw Frazer Ave Ste 282, Pendleton, OR 97801-0048 | 2019-02-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
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Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
1104286871 | Jessica Clark | Counselor | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2016-02-24 |
1194156943 | Merika Barhyte | Counselor | 620 Nw 3rd St, Pendleton, OR 97801-1410 | 2013-12-04 |
1932485133 | Jenee Sue Henderson | Counselor | 1308 Sw Emigrant Ave, Pendleton, OR 97801-1835 | 2011-11-01 |
1124237342 | Elisa Doebler-irvine | Counselor | 816 Se 15th St., Pendleton, OR 97801-0260 | 2007-05-22 |
1487755716 | Anna Marie Tallant | Counselor | 131 N Pendleton Ave, Suite A, Pendleton, IN 46064 | 2006-09-26 |
1285256669 | Savannah Kaye Hannaford | Counselor | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2020-05-08 |
1215569371 | Maria Marvella Ugarte | Counselor | 17 Sw Frazer Ave Ste 282, Pendleton, OR 97801-0048 | 2020-02-06 |
1225676075 | Janelle Allyn Taylor | Counselor | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2019-12-11 |
1962044909 | Elizabeth Coleman | Counselor | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2019-10-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.