William a. Victor

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

WILLIAM A. VICTOR

Doing business as

The Midwest Relationship Center LLC

Practice address

6 Emerald Ter
Suite 4
Swansea, IL 62226-2312

Phone

(618) 233-0500

Fax

(618) 233-7935

NPI assigned

Jul 8, 2011

Last updated

Jun 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William A Victor, D.MIN, LCPCNPI 1174531867

Title

Organizer

Phone

(618) 516-3337

Specialties & licenses 1

Addresses

Other identifiers 10

Other names 1

• The Midwest Relationship Center LLC Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William A Victor, LCPC

  • Marriage & Family Therapist
  • Fairfield, IL
  • NPI 1174531867
  NPD (past) Authorized official
• Debra Jo Bellm, MSW, LCSW

  • Clinical Social Worker
  • Swansea, IL
  • NPI 1831230846
  NPD (past)
• Stacie Gayle Newberry, LCSW

  • Clinical Social Worker
  • Kansas City, MO
  • NPI 1487801908
  NPD (past)

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1225325442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 BASSEN DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622267909",
            "telephone_number": "618-516-3337",
            "fax_number": "618-233-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EMERALD TER",
            "address_2": "SUITE 4",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262312",
            "telephone_number": "618-233-0500",
            "fax_number": "618-233-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. VICTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "618-516-3337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.MIN, LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5593729",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VAULE OPTIONS",
            "identifier": "400540",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "113166",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "395768",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "436317",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "09622928",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11759843",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "2195725",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VMC BEHAVIORIL HEALTHCARE SERVICES",
            "identifier": "027568",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURALINC HEALTHCARE",
            "identifier": "5281",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Midwest Relationship Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara J Whitener, D.D.S.,M.S.
• Ashley Whitwell, PT, DPT
• Eric Hunt Wigton, M.D.
• Alicia Wiley, LPC
• Janet Wiley, MSW, LCSW
• Brandon Marshall Williams, DC, PA
• Lauren Brittany Wilson, DMD
• Michelle Wilson, MS, RD, LDN
• Randall Eugene Wilson, D.D.S.
• Anna Winkeler

• Counselor in Swansea, IL
• Providers in Swansea, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.