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Active NPI 1043915556 Individual Practitioner Female Practitioner

Keli Marie Vasquez , AGENCY AFFILIATED CO

Counselor • Ilwaco, WA

Professional Overview & Biography Verified Profile Summary

Keli Vasquez, AGENCY AFFILIATED CO is a registered healthcare professional specializing in Counselor in Ilwaco, WA. Practice services are available at 152 1ST AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

152 1st Ave N

Ilwaco, WA 986249137

Telephone 3602140474

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Ilwaco, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Ilwaco, WA (11556 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-04
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA CG61420119

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Lacie Ranieri

Social Worker - Clinical

NPI 1396564506
Tiffany Bryce , MA, NBCC, LPC

Counselor - Professional

NPI 1447410782

Master of Arts, NBCC, Licensed Professional Counselor

NPI 1750096186
Brent Corvalan , MA

Counselor - Mental Health

NPI 1871205047

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated June 04, 2024

Recorded as KELI VASQUEZ, AGENCY AFFILIATED CO

NPI Profile Active April 03, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2023

Registered at 152 1ST AVE N, ILWACO, WA 986249137 (Tel: 3602140474)

📍
Updated Business Mailing Address April 03, 2023

Registered at PO BOX 177, OCEAN PARK, WA 986400177 (Tel: 3602140474)

👤
Provider Name / Credentials Updated April 03, 2023

Recorded as KELI LUCERO, AGENCY AFFILIATED CO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2023

Counselor (License #CG61420119 in WA)

🟢
Initial NPI Registration & Enumeration April 03, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043915556
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2023
Last Update: June 04, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 177

Ocean Park, WA 986400177

Phone: 3602140474

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.