Viktoriia V Martin, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.020395 Issued in IL

Practice address

PO Box 764
Lake Villa, IL 60046-0764

Phone

(847) 265-7300

NPI assigned

Jul 26, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• The Therapy Tree D.B.a. Birth to Three & Beyond Pediatric Therapies

  • Speech-Language Pathologist
  • Lake Villa, IL
  • NPI 1710047964
  NPD (past)

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1669200986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600460764",
            "telephone_number": "847-265-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600460764",
            "telephone_number": "847-265-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "VIKTORIIA",
        "middle_name": "V",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.020395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Johanson Maddox, LCPC
• Susan R Magee, LCPC, CADC
• Magnolia Wellness Center
• Martin Pediatric Physical Therapy, Inc.
• Joy Suzann Martin, DPT
• Semyon Maslovsky, MD
• Gabrielle Mazade, APRN, CNP
• Ashley J McDowell, SLP
• Mary McGinn
• Medical Care Center of Lake Villa

• Professional Counselor in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.