Active NPI
Amelia Ann Visaya, LMHC
- Mental Health Counselor
- Kennewick, WA
National Provider Identifier
1013251966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60511908
- Practice address
- 3311 W Clearwater Ave Ste D272
Kennewick, WA 99336-2710 - Phone
- (509) 952-7013
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC60298264 | WA | |
| Mental Health Counselor | 101YM0800X | LH60511908 | WA | Primary |
Addresses
Primary practice location
3311 W Clearwater Ave Ste D272
Kennewick, WA 99336-2710
Mailing address
6108 Bulldog LN
Pasco, WA 99301-3000
Phone (509) 952-7013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60511908 | WA | MD | Mental Health Counselor |
| MC60298264 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visaya Counseling Services P.L.L.C. | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Kennewick, WA
- NPI 1932748795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577491200000",
"number": "1013251966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6108 BULLDOG LN",
"city": "PASCO",
"state": "WA",
"postal_code": "993013000",
"telephone_number": "509-952-7013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 W CLEARWATER AVE STE D272",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993362710",
"telephone_number": "509-952-7013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISAYA",
"first_name": "AMELIA",
"middle_name": "ANN",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2019-12-28",
"certification_date": "2019-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60298264",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60511908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.