Elizabeth Walters Vivian, M.A., LPC, PMH-C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4635 Issued in LA

Practice address

8631 Summa Ave
Baton Rouge, LA 70809-3678

Phone

(225) 933-2373

Fax

(225) 410-2990

NPI assigned

Jun 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1339891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1235492125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 SUMMA AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093678",
            "telephone_number": "225-933-2373",
            "fax_number": "225-410-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 SUMMA AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093678",
            "telephone_number": "225-933-2373",
            "fax_number": "225-410-2990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7920 Wrenwood Blvd",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708091784",
            "country_code": "US",
            "telephone_number": "225-933-2373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1663 Keed Ave",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708068138",
            "country_code": "US",
            "telephone_number": "225-933-2373",
            "fax_number": "225-410-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIVIAN",
        "first_name": "ELIZABETH",
        "middle_name": "WALTERS",
        "credential": "M.A., LPC, PMH-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-17",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitalpath Health
• Craig Anthony Vitrano, MD
• Lisa Vitrano, FNP
• Vitreoretinal Institute, a Medical Corporation (Vitreoretinal Institute)
• Vivian
• VMH Associates
• Nhan Vo
• Nina L. Vo, RPH
• Rowena Helen Vo, PST.022565
• Celina Livaccari Voelker, PHARM D

• Professional Counselor in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.