Iva Wick, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61449974 Issued in WA

Practice address

2103 NE 129TH St Ste 101
Vancouver, WA 98686-3270

Phone

(971) 806-4527

NPI assigned

Aug 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1619752268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 NE 129TH ST STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863270",
            "telephone_number": "360-574-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 NE 129TH ST STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863270",
            "telephone_number": "971-806-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICK",
        "first_name": "IVA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61449974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kathleen Whitwam
• Ryan Whitworth
• Wholestic Living
• Narnia Wiborg
• Stephanie Mara Wichmann, MSW, LCSW/LICSW
• Emily Wickert
• Dennis James Wickham, M.D.
• Shelby G Wickhorst, O.D.
• Jodi Lynn Wicks
• Teghan Elizebeth Wicks

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.