Active NPI
Mvickmanltd
- Professional Counselor
- Chicago, IL
National Provider Identifier
1942553623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marcia Vickman, LCPC, CADC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.
-
- Professional Counselor
- Park Ridge, IL
- NPI 1821122797
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.