Victoria Lujan Baca Villagomez, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17433 Issued in FL

Practice address

501 NE 5TH Ter Apt 618
Fort Lauderdale, FL 33301-2504

Phone

(480) 760-1431

NPI assigned

Mar 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thriveworks Clinical - Florida Inc

  • Mental Health Counselor
  • Fort Lauderdale, FL
  • NPI 1396360996
  Medicare reassignment NPD

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1144855925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NE 5TH TER APT 618",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012504",
            "telephone_number": "480-760-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NE 5TH TER APT 618",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012504",
            "telephone_number": "480-760-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACA VILLAGOMEZ",
        "first_name": "VICTORIA",
        "middle_name": "LUJAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel E Babaian, MD
• Hensley Babb
• Nabir Mohan Babbar I, D.O.
• Peter Leon Babinski, MD PHD
• Zahira Babwani, DO
• Sandiya Mala Bachan
• Christina Blanca Bacher, PA-C
• Back in Action
• Back to Health LLC
• Back to Mind Ft Lauderdale LLC

• Mental Health Counselor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.