Victoria Jane Otchere, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701010090 Issued in VA

Practice address

10432 Balls Ford Rd
Manassas, VA 20109-2514

Phone

(703) 622-1812

NPI assigned

Dec 22, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Manassas Addiction Center LLCGroup PAC ID 7517293327, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20194/brand/1/csg/1/fhir/r4

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.

• Manassas Addiction Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Manassas, VA
  • NPI 1225692015
  Medicare reassignment Care Compare group NPD
• Victoria J. Otchere LLC

  • Professional Counselor
  • Centreville, VA
  • NPI 1942967781
  NPD Authorized official
• Renewal of the Mind

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfax, VA
  • NPI 1548835705
  NPD (past)

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1356938476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5444 TREE LINE DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10432 BALLS FORD RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092514",
            "telephone_number": "703-622-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTCHERE",
        "first_name": "VICTORIA",
        "middle_name": "JANE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.intakeq.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10432 Balls Ford Rd",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201092514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Tracy Leeanne Osborne
• Kimberly Tyler Oshirak, M.D.
• Patience Otaigbe
• Kathleen Ann Otero, LPC
• Joseph V. Otto, O.D.
• Stephanie Bile Oulatta, MSW
• Oval Beach, LLC
• Sandra Owusu-Sekyere

• Professional Counselor in Manassas, VA
• Providers in Manassas, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.