Organization Active NPI

Private Victories Counseling Services, LLC

  • Marriage & Family Therapist
  • Jefferson, IA
National Provider Identifier
1083903140
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000299 Issued in IA
Legal business name
PRIVATE VICTORIES COUNSELING SERVICES, LLC
Practice address
115 East Lincolnway, Suite 340
Jefferson, IA 50129
Phone
(712) 830-2545
Fax
(712) 659-3867
NPI assigned
Mar 29, 2011
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Ms. Jean M Lumsden, MS, CRC, LMFTNPI 1487872719
Title
Marital & Family Therapist
Phone
(712) 830-2545

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
Marriage & Family Therapist 106H00000X 000299 IA Primary

Addresses

Primary practice location

115 East Lincolnway, Suite 340
Jefferson, IA 50129

Mailing address

410 Arizona Street
Glidden, IA 51443
Phone (712) 830-2545

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1083903140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ARIZONA STREET",
            "city": "GLIDDEN",
            "state": "IA",
            "postal_code": "51443",
            "telephone_number": "712-830-2545",
            "fax_number": "712-659-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EAST LINCOLNWAY, SUITE 340",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "50129",
            "telephone_number": "712-830-2545",
            "fax_number": "712-659-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE VICTORIES COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "LUMSDEN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MARITAL & FAMILY THERAPIST",
        "authorized_official_telephone_number": "712-830-2545",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CRC, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "000299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.