Vicki Custer, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.007170 Issued in IL

Practice address

3601 Algonquin Rd
Suite 714
Rolling Meadows, IL 60008-3126

Phone

(847) 840-6680

NPI assigned

Sep 5, 2006

Last updated

Nov 15, 2013By the provider in NPPES

Sex

Female

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jo Wolthusen, PSYD PC

  • Clinical Psychologist
  • Palatine, IL
  • NPI 1427309392
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1306948666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 ALGONQUIN RD",
            "address_2": "SUITE 714",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083126",
            "telephone_number": "847-840-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 ALGONQUIN RD",
            "address_2": "SUITE 714",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083126",
            "telephone_number": "847-840-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTER",
        "first_name": "VICKI",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coria Transportation LLC
• Donna Coy, PHD
• Cpap Express, LLC (CPAP Express)
• Nurit Crystal, M.D
• Kevin Cubala, PSYD
• Donald L Cyborski, MD
• Cynthia L Czuba, PA
• Daniel & Max, LLC
• Mark Dedonato, L.C.S.W.
• Judy Corpuz Del Mundo, LMT

• Professional Counselor in Rolling Meadows, IL
• Providers in Rolling Meadows, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.