Individual ProviderKelsey N VegaCounselorBehavioral Health & Social Service ProvidersPractice Address2281 Victory Blvd, Staten Island, NY 10314-6625(862) 227-3258PECOS EnrollmentBased on the most recent information from CMS, provider Kelsey N Vega does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:08 PM.Profile DetailsProvider ID1205658028Provider TypeIndividualFull NameVega, Kelsey NCredentialLMHCGenderFemaleSole ProprietorNoEnumeration Date10/31/2024Last Updated10/31/2024Contact InformationPractice LocationPractice Address2281 Victory Blvd, Staten Island, NY 10314-6625Phone(862) 227-3258FaxUnlisted FaxMailing LocationMailing Address2281 Victory Blvd, Staten Island, NY 10314-6625Phone(862) 227-3258FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense013326New York