Organization Active NPI

Victory Counseling

  • Mental Health Counselor
  • Mount Vernon, KY
National Provider Identifier
1174144307
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VICTORY COUNSELING
Practice address
20 Lovell Court
Mt Vernon, KY 40456
Phone
(606) 401-2075
NPI assigned
Apr 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Angela Silva, LPCC-SNPI 1700274248
Title
Owner
Phone
(606) 401-2075

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

20 Lovell Court
Mt Vernon, KY 40456

Mailing address

PO Box 72
Mount Vernon, KY 40456-0072
Phone (606) 401-2075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210604001740 KY Part B Supplier - Clinic/Group Practice 0446659809 Receives reassigned benefits from 2 practitioners
Practice locations: Corbin, KY; Mount Vernon, KY; Somerset, KY

National Provider Directory

National Provider Directory

Locations

1700 Forest Dr
Corbin, KY 40701
Phone (606) 401-2075

111 Progress Dr
Ste 400
Mount Vernon, KY 40456
Phone (606) 401-2075

817 W Columbia St
Ste 1
Somerset, KY 42501
Phone (606) 401-2075

Practitioners & affiliated clinicians

Practitioners 5

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": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1174144307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404560072",
            "telephone_number": "606-401-2075",
            "fax_number": "606-401-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LOVELL COURT",
            "city": "MT VERNON",
            "state": "KY",
            "postal_code": "40456",
            "telephone_number": "606-401-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-401-2075",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.