Individual provider Active NPI

Elizabeth Deviveiros

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1861799470
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
527 E Nora Ave
Spokane, WA 99207-2347
Phone
(509) 995-2924
NPI assigned
Feb 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

527 E Nora Ave
Spokane, WA 99207-2347

Mailing address

527 E Nora Ave
Spokane, WA 99207-2347
Phone (509) 995-2924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205002339 WA Practitioner - Mental Health Counselor 3779926977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icard, P.L.L.C.Group PAC ID 9436325982, 3 clinicians

Practice addresses (Care Compare)

701 W 7TH Ave
Suite 130
Spokane, WA 99204-2835
Phone (509) 838-3932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Icard, P.L.L.C. CurrentSince Jan 1, 2024 Accepting new patients

Locations

701 W 7th Ave
Ste 130
Spokane, WA 99204
Phone (509) 838-3932

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1861799470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 E NORA AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072347",
            "telephone_number": "509-995-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 E NORA AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072347",
            "telephone_number": "509-995-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVIVEIROS",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.