Victoria Baum, LCPC, NCC
Individual provider Active NPI Professional Counselor · Evanston, IL
NPI 1194919043 · NPPES record last updated Sep 4, 2007
Key facts
- NPI
- 1194919043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 2530 Crawford Ave
Suite 114
Evanston, IL 60201-4970 - Phone
- (847) 373-0456
- Fax
- (847) 866-0456
- NPI assigned
- Sep 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-006479 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Yes |
Addresses
Primary practice location
2530 Crawford Ave
Suite 114
Evanston, IL 60201-4970
Mailing address
2530 Crawford Ave
Suite 114
Evanston, IL 60201-4970
Phone (847) 373-0456
Other providers in Evanston, IL
- Emuata Ufok Bassey
- Anupam Basu
- Anette Batista
- Priyanka Batra
- Jennifer Batza
- Nick Baumann
- Zachary Elijah Andrew Bean
- Julie Mallia Beardsley
- Adria Beasley
- Beatrice Finkelstein, RN, Psy.D.
All providers in Evanston, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.