Active NPI
Vicki Lois Vanhorn, M.ED.
- Mental Health Counselor
- Clarkston, WA
National Provider Identifier
1467523977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 60275894
- Practice address
- 829 6TH St
Clarkston, WA 99403-2002 - Phone
- (509) 758-8011
- Fax
- (509) 769-5064
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2744 | ID | |
| Mental Health Counselor | 101YM0800X | 60275894 | WA | Primary |
Addresses
Primary practice location
829 6TH St
Clarkston, WA 99403-2002
Mailing address
2724 9TH Ave
Clarkston, WA 99403-1673
Phone (509) 751-9165
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60275894 | WA | MD | Mental Health Counselor |
| 2744 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397088000000",
"number": "1467523977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2724 9TH AVE",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994031673",
"telephone_number": "509-751-9165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 6TH ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032002",
"telephone_number": "509-758-8011",
"fax_number": "509-769-5064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANHORN",
"first_name": "VICKI",
"middle_name": "LOIS",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2014-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "2744",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "60275894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.