Individual provider Active NPI

Fiamma Lucio, RC

  • Counselor
  • Vancouver, WA
National Provider Identifier
1942343231
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
RC00054370 Issued in WA
Practice address
5411 NE 107TH Ave Ste 101
Vancouver, WA 98662-6347
Phone
(360) 828-7871
Fax
(360) 828-5636
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X RC00054370 WA Primary

Addresses

Primary practice location

5411 NE 107TH Ave Ste 101
Vancouver, WA 98662-6347

Mailing address

5411 NE 107TH Ave Ste 101
Vancouver, WA 98662-6347
Phone (360) 828-7871

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
I20230912001400 WA Practitioner - Clinical Social Worker 5395105308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage NW Consulting LLCGroup PAC ID 8628511102, 3 clinicians

Practice addresses (Care Compare)

5411 NE 107TH Ave
Suite 101
Vancouver, WA 98662-6347
Phone (360) 828-7871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RC00054370WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage NW Consulting LLC Counselor CurrentSince May 8, 2024 Accepting new patients
Columbia River Mental Health Services CurrentSince Jul 21, 2023 Accepting new patients

Locations

6926 NE Fourth Plain Blvd
Vancouver, WA 98661
Phone (360) 695-3416

5411 NE 107th Ave
Ste 101
Vancouver, WA 98662
Phone (360) 828-7871

Organizations & group practices 2

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1942343231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 NE 107TH AVE STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626347",
            "telephone_number": "360-828-7871",
            "fax_number": "360-828-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 NE 107TH AVE STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626347",
            "telephone_number": "360-828-7871",
            "fax_number": "360-828-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIO",
        "first_name": "FIAMMA",
        "credential": "RC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00054370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.