Lucy Elvira Vicioso-Harris, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-21993 Issued in AZ

Practice address

1310 Oakcrest Dr Apt 318
Columbia, SC 29223

Phone

(803) 386-8867

NPI assigned

Mar 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA, SC2 enrollments

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 2

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.

• Myspectrum LLC

  • Mental Health Counselor
  • North Chesterfield, VA
  • NPI 1174029359

  VA

  Medicare reassignment NPD
• Notary & Things, LLC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1801500541

  SC

  Medicare reassignment NPD
• Rediscover Hope Counseling and Consulting Services

  • Professional Counselor
  • Columbia, SC
  • NPI 1285210468

  Professional

  NPD Authorized official
• Mariposa Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Patagonia, AZ
  • NPI 1003837618
  NPD
• Mariposa Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Nogales, AZ
  • NPI 1417985474
  NPD
• Mariposa Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Nogales, AZ
  • NPI 1487537445
  NPD

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1508227653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3788",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292303788",
            "telephone_number": "803-733-5969",
            "fax_number": "803-753-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 OAKCREST DR APT 318",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29223",
            "telephone_number": "803-386-8867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Oakcrest Dr Apt 318",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292231728",
            "country_code": "US",
            "telephone_number": "803-386-8867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1443 Highway 1 S",
            "address_purpose": "LOCATION",
            "city": "Lugoff",
            "state": "SC",
            "postal_code": "290789460",
            "country_code": "US",
            "telephone_number": "803-708-0902",
            "fax_number": "803-403-8965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Oakcrest Dr Apt 318",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292231728",
            "country_code": "US",
            "telephone_number": "803-386-8867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICIOSO-HARRIS",
        "first_name": "LUCY",
        "middle_name": "ELVIRA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6584",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012483",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH23496",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92542",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-21993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR LICENSE NUMBER",
            "identifier": "6584",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1936",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neal Jackson Vernon, L.M.S.W
• Madeline Faith Versage
• VI-Care Group Inc.
• Kevin Via, MD
• James Viapiano, M.D.
• Quanterria Vick
• Peyton Vickers
• Kathy Vidal, RN
• Maria Regina Vidanes
• Village Concepts Consultants, LLC

• All providers in Columbia, SC
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.