Victoria Costakis, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.009161 Issued in IL

Practice address

60 Revere Dr
Suite 202
Northbrook, IL 60062-1563

Phone

(847) 644-5133

NPI assigned

Jun 4, 2014

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.

• Vicky Costakis, LCPC LLC

  • Professional Counselor
  • Northbrook, IL
  • NPI 1437562501
  NPD (past) Authorized official

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1952714255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 GREENWOOD AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 REVERE DR",
            "address_2": "SUITE 202",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621563",
            "telephone_number": "847-644-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTAKIS",
        "first_name": "VICTORIA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan James Cook
• Detelina Coons
• Kristin Furla Coorlas, M.ED.
• Jayne K Corey, MA, CCC-SLP
• Alma Ebelia Correa
• Joan Costello, PH.D.
• Pamela Costis, LCSW
• Lisa Cotler, LPC
• Sheldon Cotler, PH.D.
• Courtney Mary Bernice Council

• Professional Counselor in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.