Organization Active NPI

Mvickmanltd

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1942553623
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MVICKMANLTD
Practice address
200 W Superior St
Suite 403
Chicago, IL 60654-3553
Phone
(847) 660-3747
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Ms. Marcia Vickman, LCPC, CADCNPI 1821122797
Title
Therapist/Owner
Phone
(847) 660-3747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

200 W Superior St
Suite 403
Chicago, IL 60654-3553

Mailing address

3318 Grant St
Evanston, IL 60201-1830
Phone (847) 660-3747

National Provider Directory

National Provider Directory

Locations

200 W Superior St
Ste 403
Chicago, IL 60654
Phone (312) 944-2922

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1942553623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 GRANT ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011830",
            "telephone_number": "847-660-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W SUPERIOR ST",
            "address_2": "SUITE 403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543553",
            "telephone_number": "847-660-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVICKMANLTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "VICKMAN",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "847-660-3747",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, CADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.