NPIMap

Individual provider Active NPI

Liam Edward Vincifora, C.I.T

  • Addiction (Substance Use Disorder) Counselor
  • Covington, LA
National Provider Identifier
1578252011
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
5354 Issued in LA
Practice address
1016 1/2 W 21St Ave
Covington, LA 70433-7443
Phone
(985) 276-4165
Fax
(985) 400-2333
NPI assigned
May 2, 2023
Sex
Male
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
5354LAMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5354 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

1016 1/2 W 21St Ave
Covington, LA 70433-7443

Mailing address

1016 1/2 W 21St Ave
Covington, LA 70433-7443
Phone (985) 276-4165

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2023.

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1578252011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 1/2 W 21ST AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337443",
            "telephone_number": "985-276-4165",
            "fax_number": "985-400-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 1/2 W 21ST AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337443",
            "telephone_number": "985-276-4165",
            "fax_number": "985-400-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCIFORA",
        "first_name": "LIAM",
        "middle_name": "EDWARD",
        "credential": "C.I.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "5354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.