Individual provider Active NPI

Amelia Ann Visaya, LMHC

  • Mental Health Counselor
  • Kennewick, WA
National Provider Identifier
1013251966
Registry record updated Dec 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60511908 Issued in WA
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

Updated by the provider on Dec 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LH60511908WAMDMental Health Counselor
MC60298264WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Visaya Counseling Services P.L.L.C. Mental Health PastSince Dec 29, 2019 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.

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.

Verify at the official NPI Registry.