Active NPI
Victoria Songonuga, LCPC
- Professional Counselor
- Lutherville Timonium, MD
National Provider Identifier
1114577608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC15772
- Practice address
- 1301 York Rd Ste 800
#1052
Lutherville-Timonium, MD 21093-2035 - Phone
- (443) 436-2471
- NPI assigned
- Sep 16, 2019
- Reactivated
- Nov 5, 2024
- Last updated
- Nov 5, 2024
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC15772 | MD | Primary |
Addresses
Primary practice location
1301 York Rd Ste 800
#1052
Lutherville-Timonium, MD 21093-2035
Mailing address
1301 York Rd Ste 800
#1052
Lutherville-Timonium, MD 21093-2035
Phone (443) 436-2471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC15772 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Itunu Company LLC | Professional | Current | Accepting new patients |
Locations
1301 York Rd
Ste 800
Timonium, MD 21093
Phone (410) 376-8728
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1114577608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 YORK RD STE 800",
"address_2": "#1052",
"city": "LUTHERVILLE-TIMONIUM",
"state": "MD",
"postal_code": "210932035",
"telephone_number": "443-436-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 YORK RD STE 800",
"address_2": "#1052",
"city": "LUTHERVILLE-TIMONIUM",
"state": "MD",
"postal_code": "210932035",
"telephone_number": "443-436-2471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONGONUGA",
"first_name": "VICTORIA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "U",
"enumeration_date": "2019-09-16",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"deactivation_date": "2022-10-11",
"reactivation_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC15772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutherville Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.