Individual provider Active NPI

Victoria Langfahl West, LCPC CADC

  • Professional Counselor
  • Peoria, IL
National Provider Identifier
1407917255
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180001014 Issued in IL
Practice address
6401 N Sheridan Rd
Suite 104
Peoria, IL 61614-2922
Phone
(309) 589-0909
Fax
(309) 589-0912
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 22162 IL
Professional Counselor 101YP2500X 180001014 IL Primary

Addresses

Primary practice location

6401 N Sheridan Rd
Suite 104
Peoria, IL 61614-2922

Mailing address

6401 N Sheridan Rd
Suite 104
Peoria, IL 61614-2922
Phone (309) 589-0909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22162ILMDAddiction (Substance Use Disorder) Counselor
180001014ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1407917255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 N SHERIDAN RD",
            "address_2": "SUITE 104",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142922",
            "telephone_number": "309-589-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 N SHERIDAN RD",
            "address_2": "SUITE 104",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142922",
            "telephone_number": "309-589-0909",
            "fax_number": "309-589-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "VICTORIA",
        "middle_name": "LANGFAHL",
        "credential": "LCPC CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "22162",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180001014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.