Vicvera Behavioral Health Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

VICVERA BEHAVIORAL HEALTH SERVICES LLC

Practice address

10303 20TH St E
Edgewood, WA 98372-1446

Phone

(862) 588-1026

NPI assigned

Oct 16, 2026

Last updated

Oct 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chukwudi Okolie

Title

Ceo

Phone

(862) 588-1026

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1558267641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10303 20TH ST E",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983721446",
            "telephone_number": "862-588-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10303 20TH ST E",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983721446",
            "telephone_number": "862-588-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICVERA BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "OKOLIE",
        "authorized_official_first_name": "CHUKWUDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-588-1026"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Edgewood, WA
• Providers in Edgewood, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.