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MAYRA VELASCO
NPI 1720322662
Counselor in East Saint Louis, IL

Active since November 15, 2012
5601 STATE ST, EAST SAINT LOUIS, IL 62203(618) 213-3170(618) 213-3171 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mayra Velasco NPPES

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

MAYRA VELASCO (NPI 1720322662) is an individual counselor in East Saint Louis, Illinois and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1720322662
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMAYRA VELASCO
Location Address5601 STATE STEast Saint Louis, IL 62203-1346
Mailing Address5601 State StreetE. St. Louis, IL 62203-0204 · (618) 213-3170 · Fax (618) 213-3171
Phone(618) 213-3170
Fax(618) 213-3171
Sole ProprietorNo
Enumeration DateNovember 15, 2012
✔ NPI 1720322662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
5601 STATE ST, East Saint Louis, IL 62203
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIANNA PETERSON MSW
Counselor (Mental Health)
5601 STATE ST
EAST SAINT LOUIS, IL 62203
St. Clair County (618) 213-3170
FRANK DANIEL BUONO MS
Behavior Analyst
5601 STATE ST
EAST SAINT LOUIS, IL 62203
St. Clair County (618) 213-3170
MRS. JENNIFER CHILDERSON MSW
Social Worker
5601 STATE ST
EAST SAINT LOUIS, IL 62203
St. Clair County (618) 213-3170
HOYLETON YOUTH AND FAMILY SERVICES
Foster Care Agency
5601 STATE ST
EAST SAINT LOUIS, IL 62203
St. Clair County (618) 875-0673
PURE LIVING RECOVERY AND REHABILITION CENTER
Community/Behavioral Health
5601 STATE ST
EAST SAINT LOUIS, IL 62203
St. Clair County (314) 701-0405

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 Mayra Velasco's NPI number?

The NPI number for Mayra Velasco is 1720322662. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Mayra Velasco located?

Mayra Velasco practices at 5601 State St, East Saint Louis, IL 62203. The listed phone number is (618) 213-3170.

What is Mayra Velasco's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mayra Velasco was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.