Active NPI
Vicvera Behavioral Health Services
- Psychiatric/Mental Health Nurse Practitioner
- Edgewood, WA
National Provider Identifier
1265353080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryNPI 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.