Thomas P. Niebur, LCPC, LMFT, CSAT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180001431

Practice address

303 N Hershey Rd
Suite# 01
Bloomington, IL 61704-3576

Phone

(309) 268-3529

Fax

(309) 268-2323

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1437172103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2451",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617022451",
            "telephone_number": "309-268-2172",
            "fax_number": "309-268-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N HERSHEY RD",
            "address_2": "SUITE# 01",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043576",
            "telephone_number": "309-268-3529",
            "fax_number": "309-268-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEBUR",
        "first_name": "THOMAS",
        "middle_name": "P.",
        "credential": "LCPC, LMFT, CSAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "180001431",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000183",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05732028",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Marie Nguyen, M.S. CCC-SLP
• Vy Charles Nhem, PHARMD
• Selena Ni
• Azfar Khan Niazi, MD
• Jenifer Joan Nibbio, LCSW
• Sarah E Nielsen
• Thomas Edwin Nielsen, M.D.
• Abigail M Nieslawski
• Kimberly Nieukirk
• Carley Nigro, LCPC, NCC

• Professional Counselor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.