Individual provider Active NPI

Vikaas Kumar, LAC

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1902563745
Registry record updated Nov 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LAC-20381 Issued in AZ
Practice address
14040 N Cave Creek Rd Ste 210
Phoenix, AZ 85022-6179
Phone
(602) 503-0710
Fax
(888) 927-0409
NPI assigned
Nov 28, 2021
Last updated
Nov 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LAC-20381 AZ Primary

Addresses

Primary practice location

14040 N Cave Creek Rd Ste 210
Phoenix, AZ 85022-6179

Mailing address

14040 N Cave Creek Rd Ste 210
Phoenix, AZ 85022-6179
Phone (602) 503-0710

Other identifiers 1

IdentifierTypeStateIssuer
LAC-20381OtherAZSTATE BOARD OF BEHAVIORAL HEALTH EXAMINERS

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

State licenses

LicenseStateTypeSpecialty
LAC-20381AZMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638057600000",
    "number": "1902563745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14040 N CAVE CREEK RD STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226179",
            "telephone_number": "602-503-0710",
            "fax_number": "888-927-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 N CAVE CREEK RD STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226179",
            "telephone_number": "602-503-0710",
            "fax_number": "888-927-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "VIKAAS",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-28",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-20381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF BEHAVIORAL HEALTH EXAMINERS",
            "identifier": "LAC-20381",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; 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.