Vicki Maria Lillegard, M.A., LACADC, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2704 Issued in NV

Practice address

Pyramid Lake Tribal Health Clinic
705 Highway 446
Nixon, NV 89424-8942

Phone

(775) 574-1018

Fax

(775) 574-1028

NPI assigned

Apr 10, 2008

Last updated

Apr 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sierra Counseling Center

  • Community/Behavioral Health Agency
  • Sparks, NV
  • NPI 1225409881
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1467625335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5187 ORINDA DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894363615",
            "telephone_number": "775-626-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PYRAMID LAKE TRIBAL HEALTH CLINIC",
            "address_2": "705 HIGHWAY 446",
            "city": "NIXON",
            "state": "NV",
            "postal_code": "894248942",
            "telephone_number": "775-574-1018",
            "fax_number": "775-574-1028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Sierra Counseling Center",
            "address_2": "1855 Sullivan Lane Suite #145",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "89431",
            "country_code": "US",
            "telephone_number": "775-356-1908",
            "fax_number": "775-356-3736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 S Arlington Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895091525",
            "country_code": "US",
            "telephone_number": "775-750-8425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILLEGARD",
        "first_name": "VICKI",
        "middle_name": "MARIA",
        "credential": "M.A., LACADC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00577-LC",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan J Horvat, R.N.
• Ellen Anya Houston, RN
• Stephanie Johnson
• Leon Kinerson
• Lindsey L Kreller
• Wynogene Sherrill Lyle, LPN
• Guilherme Abel Mabunda, M.D.
• Nancy Jane Magnusson, BSN, RN, PHN
• Erin Melarkey, RDMS, RVT
• Jason Molino, PERSONAL TRAINER

• Marriage & Family Therapist in Nixon, NV
• Providers in Nixon, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.