Individual provider Active NPI

Lesa Delanie Vivio, MS, LPC, CBIS

  • Counselor
  • Monongahela, PA
National Provider Identifier
1295073310
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC006221 Issued in PA
Practice address
416 W Main St
Monongahela, PA 15063-2552
Phone
(412) 401-0428
NPI assigned
Jan 24, 2013
Reactivated
Dec 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC006221 PA Primary

Addresses

Primary practice location

416 W Main St
Monongahela, PA 15063-2552

Mailing address

25 Carol Ave
Monongahela, PA 15063-3534
Phone (412) 401-0428

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC006221PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred. Centered. You, LLC Counselor CurrentSince Jun 21, 2022 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": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1295073310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CAROL AVE",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150633534",
            "telephone_number": "412-401-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W MAIN ST",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150632552",
            "telephone_number": "412-401-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVIO",
        "first_name": "LESA",
        "middle_name": "DELANIE",
        "credential": "MS, LPC, CBIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2024-12-16",
        "certification_date": "2021-11-03",
        "deactivation_date": "2021-11-03",
        "reactivation_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC006221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.