Genna P Vivona, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

66435 Issued in TX

Practice address

1711 E Central TX Expy Ste 100a
Killeen, TX 76541-9145

Phone

(254) 501-3745

Fax

(254) 501-3608

NPI assigned

Oct 21, 2019

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Professional Counseling Associates PLLC

  dba Professional Counseling Associates

  • Mental Health Counselor
  • Killeen, TX
  • NPI 1649714643
  NPD
• Counseling Associates of Central Texas

  • Marriage & Family Therapist
  • Killeen, TX
  • NPI 1104365972
  NPD (past)

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1386287480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 E CENTRAL TX EXPY STE 100A",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765419145",
            "telephone_number": "254-501-3745",
            "fax_number": "254-501-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E CENTRAL TX EXPY STE 100A",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765419145",
            "telephone_number": "254-501-3745",
            "fax_number": "254-501-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVONA",
        "first_name": "GENNA",
        "middle_name": "P",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virtue Recovery Center
• Cherelle Viscarra
• Vision Performance Institute, LLC
• Visionworks, Inc. (Visionworks)
• Megan Lynn Vitatoe, M.S. CCC-SLP
• Nhunga Vo, PA-C
• Warren J Voegele, CRNA
• Stephen James Vogel, D.D.S.
• Ashley Vorhees
• Chrystal Vriseno

• Professional Counselor in Killeen, TX
• Providers in Killeen, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.