# IVAN VEGA PACHECO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1932805090
- **Gender:** Man
- **Credential:** MA, LMHC, LPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | MH25101 | FL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | PC015320 | PA | — |
| 101YM0800X | Mental Health Counselor | MH25101 | FL | Yes |
| 101YP2500X | Professional Counselor | PC015320 | PA | — |

## Other

- **Enumeration date:** 01/31/2023
- **Last updated:** 02/11/2025