Organization Active NPI

Victory Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Mansfield, OH
National Provider Identifier
1144656117
Registry record updated Sep 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
E.0500279 Issued in OH
Legal business name
VICTORY COUNSELING CENTER, LLC
Practice address
1140 Lexington Ave
Mansfield, OH 44907-2254
Phone
(419) 565-5825
NPI assigned
Sep 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2013

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

Authorized official

Name
Ms. Vickie L Jarvis, MA, PCCNPI 1548564495
Title
Owner/Therapist
Phone
(419) 565-5825

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 E.0500279 OH Primary

Addresses

Primary practice location

1140 Lexington Ave
Mansfield, OH 44907-2254

Mailing address

1779 State Route 97
Butler, OH 44822-9795
Phone (419) 565-5825

National Provider Directory

National Provider Directory

Locations

1140 Lexington Ave
Mansfield, OH 44907
Phone (419) 565-5825

Practitioners & affiliated clinicians

Practitioners 2

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": "1379808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379808000000",
    "number": "1144656117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 STATE ROUTE 97",
            "city": "BUTLER",
            "state": "OH",
            "postal_code": "448229795",
            "telephone_number": "419-565-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072254",
            "telephone_number": "419-565-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-22",
        "last_updated": "2013-09-22",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "419-565-5825",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, PCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "E.0500279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2013; 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.