MR. VICTOR THOMAS NEEDHAM MACRADCNCC NPI 1992821656

NPI Information

NPI: 1992821656
Provider Name: MR. VICTOR THOMAS NEEDHAM, MA,CRADC,NCC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
252 MAIN ST
PARK FOREST, IL
ZIP 60466
Phone: (708) 481-9570
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MR. Victor Thomas Needham, MA,CRADC,NCC is a counselor in Park Forest, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Victor Thomas Needham, MA,CRADC,NCC NPI is 1992821656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

252 MAIN ST
PARK FOREST, IL
ZIP 60466-098
Phone: (708) 481-9570
Fax: (708) 481-9540

The enumeration date for this NPI number is 3/22/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	X
3	101YM0800X	Counselor	Mental Health	X
4	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	X
5	103TC1900X	Psychologist	Counseling	X
6	103TF0000X	Psychologist	Family	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A10420001A	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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