Individual provider Active NPI

Victoria Ann Powers, MA, LLC

  • Professional Counselor
  • Ypsilanti, MI
National Provider Identifier
1255048518
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6451022569 Issued in MI
Practice address
4531 Swiss Stone CT Apt 1B
Ypsilanti, MI 48197-4960
Phone
(309) 657-5638
NPI assigned
Nov 4, 2022
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 6451022569 MI Primary

Addresses

Primary practice location

4531 Swiss Stone CT Apt 1B
Ypsilanti, MI 48197-4960

Mailing address

4531 Swiss Stone CT Apt 1B
Ypsilanti, MI 48197-4960
Phone (309) 657-5638

Other practice location 1

127 N Washington St
Ypsilanti, MI 48197-2619
Phone (734) 682-5544

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6451022569MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Empowerment Group, PLLC Past Accepting new patients
Wise Mind PLLC PastSince Feb 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1255048518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 SWISS STONE CT APT 1B",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974960",
            "telephone_number": "309-657-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 SWISS STONE CT APT 1B",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974960",
            "telephone_number": "309-657-5638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481972619",
            "country_code": "US",
            "telephone_number": "734-682-5544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "credential": "MA, LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451022569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.