VICKI KODAD
NPI 1023292158
Counselor in Moreno Valley, CA

Active since December 26, 2007
12712 HEACOCK ST, SUITE 6, MORENO VALLEY, CA 92553(951) 243-5576 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vicki Kodad NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICKI KODAD (NPI 1023292158) is an individual counselor in Moreno Valley, California, licensed in California (CAADE051086) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1023292158
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameVICKI KODAD
Location Address12712 HEACOCK ST, SUITE 6Moreno Valley, CA 92553-3037
Mailing Address12712 Heacock St, Suite 6Moreno Valley, CA 92553-3037 · (951) 243-5576
Sole ProprietorYes
Enumeration DateDecember 26, 2007
Last NPPES UpdateJune 16, 2008
NPI 1023292158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in CA · CAADE051086
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 101YM0800X (CA)
12712 HEACOCK ST, Moreno Valley, CA 92553

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Obstetrics & Gynecology)
12712 HEACOCK ST, SUITE 7
MORENO VALLEY, CA 92553
Dentist (General Practice)
12712 HEACOCK ST, #4
MORENO VALLEY, CA 92553
Family Medicine
12712 HEACOCK ST, STE 1
MORENO VALLEY, CA 92553
Marriage & Family Therapist
12712 HEACOCK ST, SUITE 6
MORENO VALLEY, CA 92553
Voluntary or Charitable
12712 HEACOCK ST
MORENO VALLEY, CA 92553
Marriage & Family Therapist
12712 HEACOCK ST, SUITE 6
MORENO VALLEY, CA 92553
Marriage & Family Therapist
12712 HEACOCK ST, SUITE 2
MORENO VALLEY, CA 92553
Marriage & Family Therapist
12712 HEACOCK ST
MORENO VALLEY, CA 92553

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vicki Kodad's NPI number?

The NPI number for Vicki Kodad is 1023292158. It was assigned to this individual provider in the NPPES registry on December 26, 2007.

Where is Vicki Kodad located?

Vicki Kodad practices at 12712 Heacock St Suite 6, Moreno Valley, CA 92553. The listed phone number is (951) 243-5576.

What is Vicki Kodad's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Vicki Kodad was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.