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JACKELINE NOEMI VAZQUEZ
NPI 1235025842
Counselor - Mental Health in Winston Salem, NC

Active since June 18, 2025
3153 REYNOLDA RD, WINSTON SALEM, NC 27106(336) 293-4463 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jackeline Noemi Vazquez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKELINE NOEMI VAZQUEZ (NPI 1235025842) is an individual mental health provider in Winston Salem, North Carolina, licensed in North Carolina (13609) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1235025842
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACKELINE NOEMI VAZQUEZ
Location Address3153 REYNOLDA RDWinston Salem, NC 27106-3009
Mailing Address3153 Reynolda RdWinston Salem, NC 27106-3009 · (336) 293-4463
Phone(336) 293-4463
Sole ProprietorYes
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1235025842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 13609
3153 REYNOLDA RD, Winston Salem, NC 27106
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackeline Vazquez's NPI number?

The NPI number for Jackeline Vazquez is 1235025842. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Jackeline Vazquez located?

Jackeline Vazquez practices at 3153 Reynolda Rd, Winston Salem, NC 27106. The listed phone number is (336) 293-4463.

What is Jackeline Vazquez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jackeline Vazquez was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.