Victory House LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

VICTORY HOUSE LLC

Practice address

561 Breckenridge St Apt 201
Lexington, KY 40508-2256

Phone

(859) 618-7778

NPI assigned

Jul 18, 2023

Last updated

Jul 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victor LittletonNPI 1972242485

Title

Owner

Phone

(859) 618-7778

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Tyler Scott, LCSW

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1497211825
  Medicare reassignment NPD
• Natalie Tudor

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, KY
  • NPI 1619640133
  Medicare reassignment NPD
• Demetruis Renee Watson

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1013252071
  Medicare reassignment NPD
• Dianna Marie Watkins, LPCC

  • Mental Health Counselor
  • Lexington, KY
  • NPI 1306583471
  Medicare reassignment
• Victor Littleton

  • Peer Specialist
  • Lexington, KY
  • NPI 1972242485
  Authorized official Same address or phone

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1033898853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 BRECKENRIDGE ST APT 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082256",
            "telephone_number": "859-618-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 BRECKENRIDGE ST APT 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082256",
            "telephone_number": "859-618-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "LITTLETON",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-618-7778"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Vick, M.D.
• Elizabeth Vickers, APRN
• Michael Vickery, SWT
• Viclen, Inc.
• Alison Victor, APRN
• Rhea Vidrine, MD
• Susan M Viens, MS, OTR/L
• Andrew Marques Vierra, MD
• Brian Kopczyk Vieth, D.M.D.
• Victoria Marie Vigil

• Mental Health Counselor in Lexington, KY
• Providers in Lexington, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.