NPIMap

Organization Active NPI

Victory House

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1013440395
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
17003 Issued in IL
Legal business name
VICTORY HOUSE
Practice address
1657 W Monterey Ave
Chicago, IL 60643-4347
Phone
(773) 370-3126
NPI assigned
Apr 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Kristy MorrisNPI 1881134146
Title
Counselor
Phone
(773) 370-3126

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
Community/Behavioral Health Agency 251S00000X 17003 IL Primary

Addresses

Primary practice location

1657 W Monterey Ave
Chicago, IL 60643-4347

Mailing address

1657 W Monterey Ave
Chicago, IL 60643-4347
Phone (773) 370-3126

National Provider Directory

National Provider Directory

Locations

1657 W Monterey Ave
Chicago, IL 60643
Phone (773) 370-3126

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": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1013440395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 W MONTEREY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434347",
            "telephone_number": "773-370-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 W MONTEREY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434347",
            "telephone_number": "773-370-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "773-370-3126"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "17003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.