Victor Kiernan Thomas
NPI 1518708171ActiveIndividual· Counselor, Mental Health· Chubbuck, ID
Counselor, Mental Health with Canvi Behavioral Health PLLC, practicing in Chubbuck, Idaho. Enrolled in Medicare as practitioner - marriage and family therapist.
Overview
| NPI | 1518708171 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 5, 2024 |
| Last updated in NPPES | Jun 5, 2024 |
| Certified by provider | Jun 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 10431 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (ID) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
| Telehealth | Offers telehealth |
Medical group
- Canvi Behavioral Health PLLCPocatello, ID · 14 clinicians
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All 47 mental health counselors in Chubbuck · All mental health counselors in Idaho