MEDICARE: KELLIE VAZQUEZ MA, NCC, BC-TMH, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2015002771	MO
2	101YS0200X	School Counselor		MO
3	374J00000X	Doula
4	101YP2500X	Professional Counselor	CC8420	ME
5	101YP2500X	Professional Counselor	MH21532	FL
6	101YP2500X	Professional Counselor	LPC.0013572	CO

General Provider Information

NPI Number	:	1003362476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLIE VAZQUEZ MA, NCC, BC-TMH, LPC

Provider Business Mailing Address
First Line	:	6327 COVENTRY DR
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63033-7914
Country	:	US
Telephone Number	:	904-750-1229
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 S TROY ST STE 3-107
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-1982
Country	:	US
Telephone Number	:	314-541-6256
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2016
Last Update Date	:	10/14/2025

Similar Medicare Providers

1356784623 — SUZANNAH LYNN HART LCSW
Practice Location Address:

2323 S TROY ST STE 3-107
AURORA, CO
80014-1982

Practice Phone: 720-432-9151
Practice Fax:

1558751289 — MS. NICOLE STRONG-ROHEN LPC
Practice Location Address:

2323 S TROY ST STE 3-107
AURORA, CO
80014-1982

Practice Phone: 864-672-1220
Practice Fax:

1063920619 — ENSYNC PARTNERSHIPS
Practice Location Address:

2323 S TROY ST STE 3-107
AURORA, CO
80014-1982

Practice Phone: 303-808-9920
Practice Fax:

1558922260 — SUSAN LEE
Practice Location Address:

2323 S TROY ST STE 2-200
AURORA, CO
80014-1982

Practice Phone: 720-619-8844
Practice Fax:

1891312013 — ALL MY RELATIONS DR TONY BANDELE PC
Practice Location Address:

2323 S TROY ST STE 3-107
AURORA, CO
80014-1982

Practice Phone: 303-921-3633
Practice Fax:

1023044344 — SLEEP DISORDER DIAGNOSTIC CENTER, LLC
Practice Location Address:

2323 S TROY ST STE 4-100
DENVER, CO
80014-1982

Practice Phone: 303-696-2426
Practice Fax: 303-696-2436

Directions to “ KELLIE VAZQUEZ MA, NCC, BC-TMH, LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.