Organization Active NPI

Victorious Counseling Services, LLC

  • Counselor
  • Hingham, MA
National Provider Identifier
1003557547
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
VICTORIOUS COUNSELING SERVICES, LLC
Practice address
99 Derby St Ste 200
Hingham, MA 02043-4216
Phone
(617) 379-1464
NPI assigned
Apr 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nikolas R Protasenia, LMHCNPI 1487984241
Title
Program Director
Phone
(617) 379-1464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

99 Derby St Ste 200
Hingham, MA 02043-4216

Mailing address

75 Donald St Apt 12
Weymouth, MA 02188-3920
Phone (617) 379-1464

Other identifiers 1

IdentifierTypeStateIssuer
1518996354MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1003557547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 DONALD ST APT 12",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021883920",
            "telephone_number": "617-379-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 DERBY ST STE 200",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434216",
            "telephone_number": "617-379-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIOUS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "PROTASENIA",
        "authorized_official_first_name": "NIKOLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "617-379-1464",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518996354",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.