VIVIAN LEE
NPI 1720639255
Counselor - Professional in Dallas, TX

Active since September 25, 2019PECOS Enrolled
14800 LANDMARK BLVD, DALLAS, TX 75254(214) 238-9956 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2021, Oct 20, 2020, Sep 25, 2019 (3 updates tracked since 2019).

About Vivian Lee NPPES

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

VIVIAN LEE (NPI 1720639255) is an individual professional provider in Dallas, Texas, licensed in Texas (85030) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720639255
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameVIVIAN LEE
Location Address14800 LANDMARK BLVDDallas, TX 75254-7565
Mailing Address2401 Ohio Dr Apt 1008Plano, TX 75093-3975 · (512) 426-1693
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 25, 2019
Last NPPES UpdateSeptember 24, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2021
NPI 1720639255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 85030
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 15208 (TX)
14800 LANDMARK BLVD, Dallas, TX 75254

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Vivian Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496248791
PECOS Enrollment IDI20260508000267
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.

Other Providers at the Same Location NPPES 3

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

Internal Medicine
14800 LANDMARK BLVD, SUITE 700
DALLAS, TX 75254
Hospice Care, Community Based
14800 LANDMARK BLVD, SUITE 250
DALLAS, TX 75254
Pharmacy (Long Term Care Pharmacy)
14800 LANDMARK BLVD, SUITE 250
DALLAS, TX 75254

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 Vivian Lee's NPI number?

The NPI number for Vivian Lee is 1720639255. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Vivian Lee located?

Vivian Lee practices at 14800 Landmark Blvd, Dallas, TX 75254. The listed phone number is (214) 238-9956.

What is Vivian Lee's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Vivian Lee enrolled in Medicare?

Yes. Vivian Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vivian Lee was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.