VICKY COSTAKIS, LCPC LLC (NPI# 1437562501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437562501 |
| Entity Type | Organization |
| Organization Name | VICKY COSTAKIS, LCPC LLC |
| Practice Address |
60 Revere Dr Northbrook IL 60062-1563 |
| Mailing Address |
1100 Greenwood Ave Wilmette IL 60091-1620 |
| Practice Telephone | 8476445133 |
| Mailing Telephone | 8472566510 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |
| Authorized Official Name | VICTORIA A COSTAKIS (MANAGER) |
| Authorized Official Telephone | 8476445133 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.009161 | IL | Behavioral Health & Social Service Providers |
| Street Address |
60 REVERE DR |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-1563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578589750 | Claudia P. Welke | Psychiatry & Neurology | 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 | 2006-07-14 |
| 1326593088 | Joshua Williams Md LLC | Psychiatry & Neurology | 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 | 2016-08-23 |
| 1427503168 | Colleen Mcguire Md LLC | Psychiatry & Neurology | 60 Revere Dr, Northbrook, IL 60062-1563 | 2016-08-23 |
| 1700331469 | Deepali Gershan Md | Psychiatry & Neurology | 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 | 2016-08-23 |
| 1528419876 | Colleen Mcguire Md LLC | Psychiatry & Neurology | 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 | 2016-06-28 |
| 1174974802 | Dr. Deepali G. Gershan, LLC | Psychiatry & Neurology | 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 | 2016-06-23 |
| 1649620188 | Dr. Joshua A. Williams, LLC | Psychiatry & Neurology | 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 | 2016-06-15 |
| 1043674385 | Lindsay Buvel | Counselor | 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 | 2016-04-13 |
| 1710347455 | Mariette Champagne | Counselor | 60 Revere Dr, Suite 202, Northbrook, IL 60062-1563 | 2016-02-23 |
| 1083073688 | Christopher Lowden Md LLC | Psychiatry & Neurology | 60 Revere Dr, Northbrook, IL 60062-1563 | 2016-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240410 | Maribeth Gomez Germino | Counselor | 4201 Lake Cook Rd, Northbrook, IL 60062-1060 | 2020-03-17 |
| 1295389948 | Alice Shierk-booth | Counselor | 3000 Dundee Rd Ste 311, Northbrook, IL 60062-2434 | 2019-07-31 |
| 1457853558 | Barbara Dianne Demetrius-lallas | Counselor | 1859 Penfold Pl, Northbrook, IL 60062-6034 | 2018-03-05 |
| 1174032007 | Melissa Martin | Counselor | 5 Revere Dr Ste 100, Northbrook, IL 60062-1567 | 2017-09-22 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1104360080 | Pamela Matos | Counselor | 3100 Dundee Rd Ste 101, Northbrook, IL 60062-2462 | 2016-12-12 |
| 1811374960 | Aaron Marsh | Counselor | 155 Revere Dr Ste 11, Northbrook, IL 60062-1558 | 2015-04-28 |
| 1811315526 | Tracy K Durkan | Counselor | 1535 Lake Cook Rd Ste 303, Northbrook, IL 60062-1452 | 2014-03-31 |
| 1780029652 | Jennifer Welbel | Counselor | 1500 Skokie Blvd Ste 305, Northbrook, IL 60062-4114 | 2013-05-06 |
| 1477852341 | Jane Ward Carlton | Counselor | 1363 Shermer Rd Ste 313, Northbrook, IL 60062-4575 | 2011-03-17 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
Please comment or provide details below to improve the information on VICKY COSTAKIS, LCPC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.