Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Victor Kiernan Thomas

Individual provider Mental Health Counselor · NPI 1518708171

Victor Kiernan Thomas is a Marriage and Family Therapist in Chubbuck, Idaho. Qualified in 2024, 2 years ago. Practices with Canvi Behavioral Health PLLC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2024
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Practice location Address checks out

4650 Hawthorne Rd Ste 3B
Chubbuck, ID 83202-2376
Phone: (208) 648-4167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 10431 (ID)

Record details

NPI number1518708171
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 5, 2024
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024
Mailing address4650 Hawthorne Rd, Chubbuck, ID 83202-2376

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Canvi Behavioral Health Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Chubbuck