Valjean Eugene Licon, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

01375 Issued in NV

Practice address

1005 Forest St
Reno, NV 89509-2706

Phone

(775) 329-4582

Fax

(775) 329-9943

NPI assigned

May 23, 2011

Last updated

Sep 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frank Evarts, Inc.

  dba Psychological Services of Frank Evarts

  • Psychologist
  • Reno, NV
  • NPI 1518204437
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1144513284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GOOSEBERRY DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239612",
            "telephone_number": "775-240-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 FOREST ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092706",
            "telephone_number": "775-329-4582",
            "fax_number": "775-329-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICON",
        "first_name": "VALJEAN",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-23",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP0124",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "01375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114513284",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liberty Transport Company,LLC
• Libke Dental LTD (Hillside Dental)
• John Michael Libke, D.D.S.
• Shannon Lee Libler, MSW, LCSW
• Ashley Librada
• Loth Lieberstein, M.D.
• Lisa Liebig, RN
• Life Changes Rehabilitation
• Life Changes, Inc.
• Lifecare Hospitals of Northern Nevada, Inc (Tahoe Pacific Hospital)

• Marriage & Family Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.