VICTOR KIERNAN THOMAS
NPI 1518708171
Counselor - Mental Health in Chubbuck, ID

NPI Status: Active since June 05, 2024

Contact Information

4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID
ZIP 83202
Phone: (208) 648-4167

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  • Individual
  • Male
  • Years of Experience 2
  • Counselor
  • Mental Health
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About VICTOR THOMAS

This page provides the complete NPI Profile along with additional information for Victor Thomas, a provider established in Chubbuck, Idaho with a medical specialization in Counselor, focusing in mental health and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1518708171 assigned on June 2024. The practitioner's primary taxonomy code is 101YM0800X with license number 10431 (ID). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1518708171
Provider Name
VICTOR KIERNAN THOMAS
Gender
Male
Entity Type
Individual
Location Address
4650 HAWTHORNE RD STE 3B CHUBBUCK, ID 83202
Location Phone
(208) 648-4167
Mailing Address
4650 HAWTHORNE RD CHUBBUCK, ID 83202
Mailing Phone
(208) 648-4167
Medical School Name
OTHER
Graduation Year
2024
Is Sole Proprietor?
Yes
Enumeration Date
06-05-2024
Last Update Date
06-05-2024
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A mental health counselor like Victor Thomas provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
10431
License State
ID

Medicare Participation & PECOS Enrollment Status

Victor Thomas is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Victor Thomas is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 244774560

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240627002879

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for VICTOR KIERNAN THOMAS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518708171
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
252814016114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 1 + 4 + 0 + 1 + 6 + 1 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1518708171 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

JEFFERY WILLIAM ALLEN

Marriage & Family Therapist

4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID
ZIP 83202

(208) 237-9833

SEASONS OF HOPE LLC

Home Health

4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID
ZIP 83202

(208) 237-9833

SEASONS OF HOPE

Clinic/Center

(Primary Care)

4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID
ZIP 83202

(208) 237-9833

BRANDY LYNN GILEA MS-SLP

Speech-Language Pathologist

4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID
ZIP 83202

(208) 237-9833

CARA DEVOE DPT

Physical Therapist

4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID
ZIP 83202

(208) 237-9833

MS. AMY HOLLOWAY ED.S.

Counselor

(Mental Health)

4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID
ZIP 83202

(208) 223-7983

SEASONS OF HOPE

Day Training, Developmentally Disabled Services

4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID
ZIP 83202

(208) 237-9833

MICHAELA SOPHIA BUTLER PA-S

Physician Assistant

4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID
ZIP 83202

(208) 252-5621

RYAN DANIEL WOLFLEY PA-C

Physician Assistant

4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID
ZIP 83202

(208) 252-5621

TARA AROCHO NP

Nurse Practitioner

(Psychiatric/Mental Health)

4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID
ZIP 83202

(208) 252-5621

CANVI BEHAVIORAL HEALTH PLLC

Nurse Practitioner

(Psychiatric/Mental Health)

4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID
ZIP 83202

(208) 252-5621

MATTHEW KAM

Marriage & Family Therapist

4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID
ZIP 83202

(208) 252-5621

AMY BELNAP PMHNP

Registered Nurse

(Psychiatric/Mental Health, Child & Adolescent)

4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID
ZIP 83202

(208) 252-5621

JENNIFER PETTY LAYTON LSW

Social Worker

4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID
ZIP 83202

(208) 244-2765

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518708171, enumerated in the NPI registry as an "individual" on June 05, 2024

The provider is located at 4650 Hawthorne Rd Ste 3b Chubbuck, Id 83202 and the phone number is (208) 648-4167

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider has more than 2 years of experience.

Yes, as of July 06, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on June 05, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.