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: October 25, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Vivian Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Colorado, Florida, Louisiana, Massachusetts, Texas and Washington enrollments
  • 504 clinicians in this Medicare group
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Vivian Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Lee reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PA (Miami, FL) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vivian Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 5 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.