Individual provider Active NPI

Viola Leveille Vandercook, MS ED, LPCP, NCC

  • Professional Counselor
  • Carol Stream, IL
National Provider Identifier
1689732653
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-003665 Issued in IL
Practice address
380 S Schmale Rd
Suite 223
Carol Stream, IL 60188-2791
Phone
(630) 640-2622
Fax
(630) 668-4308
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-003665 IL Primary

Addresses

Primary practice location

380 S Schmale Rd
Suite 223
Carol Stream, IL 60188-2791

Mailing address

380 S Schmale Rd
Suite 223
Carol Stream, IL 60188-2791
Phone (630) 640-2622

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180-003665ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1689732653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 S SCHMALE RD",
            "address_2": "SUITE 223",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882791",
            "telephone_number": "630-640-2622",
            "fax_number": "630-668-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 S SCHMALE RD",
            "address_2": "SUITE 223",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882791",
            "telephone_number": "630-640-2622",
            "fax_number": "630-668-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERCOOK",
        "first_name": "VIOLA",
        "middle_name": "LEVEILLE",
        "name_prefix": "Mrs.",
        "credential": "MS ED, LPCP, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-003665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.