Individual provider Active NPI

Victoria Cole

  • Mental Health Counselor
  • Escondido, CA
National Provider Identifier
1467017665
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
96154 Issued in CA
Practice address
125 W Mission Ave Ste 103
Escondido, CA 92025-1721
Phone
(760) 747-3424
Fax
(760) 747-3435
NPI assigned
May 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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 96154 CA Primary

Addresses

Primary practice location

125 W Mission Ave Ste 103
Escondido, CA 92025-1721

Mailing address

125 W Mission Ave Ste 103
Escondido, CA 92025-1721
Phone (760) 747-3424

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250120000649 CA Practitioner - Clinical Social Worker 9436688504 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
96154CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Family Counseling Services CurrentSince Dec 1, 2024 Accepting new patients

Locations

275 W Hospitality Ln
Ste 309
San Bernardino, CA 92408
Phone (951) 257-8045

41593 Winchester Rd
Ste 215
Temecula, CA 92590
Phone (951) 257-8045

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1467017665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W MISSION AVE STE 103",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251721",
            "telephone_number": "760-747-3424",
            "fax_number": "760-747-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W MISSION AVE STE 103",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251721",
            "telephone_number": "760-747-3424",
            "fax_number": "760-747-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "96154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.