Betty L. Vicena, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

RC00049637 Issued in WA

Practice address

421 W Riverside Ave
Suite 710
Spokane, WA 99201-0405

Phone

(509) 279-8232

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1750405866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10083",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992091083",
            "telephone_number": "509-279-8232",
            "fax_number": "509-325-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W RIVERSIDE AVE",
            "address_2": "SUITE 710",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010405",
            "telephone_number": "509-279-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENA",
        "first_name": "BETTY",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00049637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50008",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michael L Viale, DDS
• Truly Vichi Shields
• Taysia Vick
• Victor V. Carnell, DDS, PS
• Victoria Z Enterprises, LLC
• Donovan M. Victorine, PHARM.D.

• Mental Health Counselor in Spokane, WA
• Providers in Spokane, 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 Dec 21, 2011; 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.