Taylor Vickerman, LMHCA is a
Counselor - Mental Health based in Granger, Washington. Taylor Vickerman is licensed to practice in Washington (license number MC61580875) and his current practice location is
120 Van Belle Rd, Granger, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 594-4917.
NPI number for Taylor Vickerman is 1235945270 and his current mailing address is Po Box 83, Sunnyside, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235945270.
Healthcare Provider's Profile
| Full Name | Taylor Vickerman |
|---|
| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 120 Van Belle Rd, Granger, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235945270
- Provider Enumeration Date: 12/04/2024
- Last Update Date: 06/12/2025
Medical Identifiers
Medical identifiers for Taylor Vickerman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235945270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | MC61580875 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taylor Vickerman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Taylor Vickerman, LMHCA
Po Box 83,
Sunnyside, WA 98944-0083
Ph: () - | Taylor Vickerman, LMHCA
120 Van Belle Rd,
Granger, WA 98932-9767
Ph: (509) 594-4917 |
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