Organization Active NPI

Vicvera Behavioral Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Edgewood, WA
National Provider Identifier
1265353080
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VICVERA BEHAVIORAL HEALTH SERVICES
Practice address
10303 20TH St E Apt H203
Edgewood, WA 98372-1021
Phone
(862) 588-1026
NPI assigned
Jul 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Chukwudi Okolie
Title
Ceo
Phone
(862) 588-1026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

10303 20TH St E Apt H203
Edgewood, WA 98372-1021

Mailing address

10303 20TH St E Apt H203
Edgewood, WA 98372-1021
Phone (862) 588-1026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1265353080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10303 20TH ST E APT H203",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983721021",
            "telephone_number": "862-588-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10303 20TH ST E APT H203",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983721021",
            "telephone_number": "862-588-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICVERA BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-25",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "OKOLIE",
        "authorized_official_first_name": "CHUKWUDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-588-1026"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.