Individual provider Active NPI

Vicki J Bates, LPC, NCC

  • Professional Counselor
  • Bertram, TX
National Provider Identifier
1437604162
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
73202 Issued in TX
Practice address
150 S. West St.
Bertram, TX 78605
Phone
(512) 569-1152
NPI assigned
Aug 23, 2016
Last updated
Aug 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 73202 TX Primary

Addresses

Primary practice location

150 S. West St.
Bertram, TX 78605

Mailing address

134 County Road 118
Burnet, TX 78611-5417
Phone (512) 809-9055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430000205 TX Practitioner - Mental Health Counselor 6507206158 Practice locations: Burnet, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

128 County Rd
Suite 118
Burnet, TX 78611
Phone (512) 569-1152

134 County Rd
Suite 118
Burnet, TX 78611

134 County Rd
Suite 118
Burnet, TX 78611-5417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1437604162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 COUNTY ROAD 118",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786115417",
            "telephone_number": "512-809-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S. WEST ST.",
            "city": "BERTRAM",
            "state": "TX",
            "postal_code": "78605",
            "telephone_number": "512-569-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "VICKI",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bertram, TX

Sources for this page

Verify at the official NPI Registry.