Individual provider Active NPI

Victoria Danielle Scoville, LCSW

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1205117819
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1100 NW 14TH St
Oklahoma City, OK 73106-4450
Phone
(405) 528-7721
Fax
(405) 528-7731
NPI assigned
Sep 9, 2011
Last updated
Dec 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1100 NW 14TH St
Oklahoma City, OK 73106-4450

Mailing address

1100 NW 14TH St
Oklahoma City, OK 73106-4450
Phone (580) 445-8106

Other practice location 1

4101 Perimeter Center Dr Ste 250
Oklahoma City, OK 73112-2309
Phone (405) 751-0800 ext. 4023

Other identifiers 1

IdentifierTypeStateIssuer
K8600134MedicaidOK

Other names 1

  • Victoria Danielle Weichel Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunbeam Family Services CurrentSince May 19, 2024 Accepting new patients
Joyful Reflections Counseling and Consulting PLLC Current Accepting new patients
Sunbeam Family Services, Inc. CurrentSince Dec 22, 2019 Accepting new patients

Locations

1100 NW 14th St
Oklahoma City, OK 73106
Phone (405) 528-7721

Organizations & group practices 3

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": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1205117819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW 14TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731064450",
            "telephone_number": "580-445-8106",
            "fax_number": "405-751-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW 14TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731064450",
            "telephone_number": "405-528-7721",
            "fax_number": "405-528-7731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 Perimeter Center Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731122309",
            "country_code": "US",
            "telephone_number": "405-751-0800 x4023",
            "fax_number": "405-751-6488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOVILLE",
        "first_name": "VICTORIA",
        "middle_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K8600134",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "WEICHEL",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.