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CALEB KENNETH VIVIO LPC-MHSP
NPI 1215791090
Counselor - Mental Health in Jackson, TN

Active since February 12, 2024PECOS EnrolledAccepts Medicare Assignment
109 TUCKER ST, JACKSON, TN 38301(731) 203-1584(574) 635-9228 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Caleb Kenneth Vivio Lpc-mhsp NPPES

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

CALEB KENNETH VIVIO LPC-MHSP (NPI 1215791090) is an individual mental health provider in Jackson, Tennessee, licensed in Tennessee (5554) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215791090
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCALEB KENNETH VIVIOCredential: LPC-MHSP
Location Address109 TUCKER STJackson, TN 38301-4092
Mailing Address7556 Us Highway 70Bartlett, TN 38133-2686 · (901) 552-3497 · Fax (574) 635-9228
Phone(731) 203-1584
Fax(574) 635-9228
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 12, 2024
Last NPPES UpdateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
✔ NPI 1215791090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TN · 5554
109 TUCKER ST, Jackson, TN 38301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caleb Kenneth Vivio Lpc-mhsp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375076854
PECOS Enrollment IDI20241023002684
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Caleb Vivio's NPI number?

The NPI number for Caleb Vivio is 1215791090. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Where is Caleb Vivio located?

Caleb Vivio practices at 109 Tucker St, Jackson, TN 38301. The listed phone number is (731) 203-1584.

What is Caleb Vivio's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Caleb Vivio enrolled in Medicare?

Yes. Caleb Vivio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Caleb Vivio accept?

Health plans from BlueCross BlueShield of Tennessee list Caleb Vivio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caleb Vivio was last updated on August 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.