Victorville Counseling

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

MFC # 53104 Issued in CA

Legal business name

VICTORVILLE COUNSELING

Practice address

15431 Anacapa Rd
Suite # D
Victorville, CA 92392

Phone

(951) 333-7363

Fax

(760) 240-3728

NPI assigned

Oct 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mayada Marzouk, LMFTNPI 1730357427

Title

Clinician

Phone

(951) 333-7363

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Mayada Marzouk, LMFT

  • Marriage & Family Therapist
  • Victorville, CA
  • NPI 1730357427
  NPD (past) Authorized official
• Lama Salama

  • Marriage & Family Therapist
  • Victorville, CA
  • NPI 1689268831
  NPD (past)

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1124490446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15431 ANACAPA RD",
            "address_2": "SUITE # D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92392",
            "telephone_number": "951-333-7363",
            "fax_number": "760-240-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15431 ANACAPA RD",
            "address_2": "SUITE # D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92392",
            "telephone_number": "951-333-7363",
            "fax_number": "760-240-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORVILLE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "MARZOUK",
        "authorized_official_first_name": "MAYADA",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "951-333-7363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "MFC # 53104",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "MFC # 53104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Valley Community Hospital
• Victor Valley Counseling Center, Mental Health Court
• Victor Valley Emergency Medical Associates, Inc.
• Victor Valley Hospital Acquisition, Inc.
• Victor Valley Union High School
• Victorville Dental Office of Aram Arakelyan and Alborz Mehdizadeh
• Victorville Health Care Services
• Victorville HHA Services, LLC
• Victorville Home Health
• Victorville Home Health Agency Services, LLC

• Adult Mental Health Clinic/Center in Victorville, CA
• Providers in Victorville, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.