Organization Active NPI

Victoria Counseling & Consulting, LLC

  • Mental Health Counselor
  • Smyrna, GA
National Provider Identifier
1316576598
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VICTORIA COUNSELING & CONSULTING, LLC
Practice address
3059 S Cobb Dr SE
Smyrna, GA 30080-7809
Phone
(770) 609-7924
NPI assigned
Apr 8, 2020
Last updated
Apr 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Victoria Maynez, LPC, AMFT
Title
Owner
Phone
(559) 978-1012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3059 S Cobb Dr SE
Smyrna, GA 30080-7809

Mailing address

PO Box 78152
Atlanta, GA 30357-2152
Phone (559) 978-1012

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address victoriamaynez@cumberlandchurch.org

National Provider Directory

National Provider Directory

Locations

3059 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 609-7924

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1316576598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78152",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303572152",
            "telephone_number": "559-978-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3059 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807809",
            "telephone_number": "770-609-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "MAYNEZ",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-978-1012",
        "authorized_official_credential": "LPC, AMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoriamaynez@cumberlandchurch.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "3059 S Cobb Dr SE",
            "city": "Smyrna",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300807809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.