Vicki L Vandeveer, MA, LCPC, LMFT, CADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180001778 Issued in IL

Practice address

2659 Farragut Dr
Springfield, IL 62704-1459

Phone

(217) 726-7273

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Personal Counseling Services

  • Substance Abuse Rehabilitation Facility
  • Springfield, IL
  • NPI 1518085638
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1508997875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 FARRAGUT DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041459",
            "telephone_number": "217-726-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 FARRAGUT DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041459",
            "telephone_number": "217-726-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEVEER",
        "first_name": "VICKI",
        "middle_name": "L",
        "credential": "MA, LCPC, LMFT, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180001778",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "16600339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda M. Vance, FNP-BC
• Gary Vandekerckhove, D.D.S
• Kaitlyn Vandermaiden, M.A., CCC-SLP
• Matt Gordon Vandermolen, DDS
• Suzanne Michelle Lynn Vanderslik
• Timothy A Vanfleet, MD
• Scott Anibal Vangemert, MD
• Rebecca S. Vanmeter, NP
• Rodney H. Vansandt, D.D.S.
• Laura Bibiana Vargas, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.