Victor R Likhterev, MS LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2463125 Issued in WI

Practice address

1442 N Farwell Ave
Ste #104 Access Mental Health Clinic
Milwaukee, WI 53202

Phone

(414) 276-3455

Fax

(414) 276-3460

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Access Mental Health Clinic LLC

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1598956054
  NPD (past) Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578787487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 N FARWELL AVE",
            "address_2": "STE #104 ACCESS MENTAL HEALTH CLINIC",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53202",
            "telephone_number": "414-276-3455",
            "fax_number": "414-276-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 N FARWELL AVE",
            "address_2": "STE #104 ACCESS MENTAL HEALTH CLINIC",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53202",
            "telephone_number": "414-276-3455",
            "fax_number": "414-276-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIKHTEREV",
        "first_name": "VICTOR",
        "middle_name": "R",
        "credential": "MS LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2463125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39712700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Clinic
• Richard Lightsey II, D.D.S
• Rebecca Ruth Ligrow, PT
• Barbara A Lijewski, O.T.
• Jorgo Lika
• Lilac Psychiatry LLC
• Gregory M Lile, PHARM.D.
• Tracey Harrop Liljestrom
• David W Lillich, MD
• Stefan Lilly

• Professional Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.