Victor Nevarez Sr., CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A-4120-0001-A Issued in IL

Practice address

256 S Washington Ave
Kankakee, IL 60901-3729

Phone

(815) 386-1308

Fax

(815) 348-6883

NPI assigned

Jul 10, 2024

Last updated

Aug 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1164269759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 S WASHINGTON AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013729",
            "telephone_number": "815-386-1308",
            "fax_number": "815-348-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 S WASHINGTON AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013729",
            "telephone_number": "815-386-1308",
            "fax_number": "815-348-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVAREZ",
        "first_name": "VICTOR",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "A-4120-0001-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mukhtar Hussain Naqvi, DO
• Nashib Hashmi MD PC (Kidney Center of Kankakee)
• Brianna C Neal, APRN
• Nicole S. Nettgen, CNM
• Neurology LTD
• New Life Pentecostal Medical Clinic for the Uninsured Inc (New Life Pentecostal Medical Clinic for the Uninsured)
• Cheryl Newberry
• Newsome Rehabilitation Center
• Nexus (Indian Oaks Academy)
• Phivu Nguyen, DO

• Addiction (Substance Use Disorder) Counselor in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.