Active NPI
Spomenka Vitman, MA
- Mental Health Counselor
- Redmond, WA
National Provider Identifier
1619226339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60558559
- Practice address
- 16710 NE 79TH St
Suite 203
Redmond, WA 98052-4466 - Phone
- (425) 681-5330
- NPI assigned
- Sep 10, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60558559 | WA | Primary |
Addresses
Primary practice location
16710 NE 79TH St
Suite 203
Redmond, WA 98052-4466
Mailing address
16710 NE 79TH St
Suite 203
Redmond, WA 98052-4466
Phone (425) 681-5330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 20, 2024 through Feb 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60558559 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1619226339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16710 NE 79TH ST",
"address_2": "SUITE 203",
"city": "REDMOND",
"state": "WA",
"postal_code": "980524466",
"telephone_number": "425-681-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16710 NE 79TH ST",
"address_2": "SUITE 203",
"city": "REDMOND",
"state": "WA",
"postal_code": "980524466",
"telephone_number": "425-681-5330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITMAN",
"first_name": "SPOMENKA",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-10",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60558559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.