Victoria Elizabeth Vaagbay

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

118 Medical CT
Clarksville, TN 37043-4602

Phone

(931) 408-9909

Fax

(866) 371-4056

NPI assigned

Nov 17, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Minds Matter

  • Clinical Social Worker
  • Clarksville, TN
  • NPI 1730740309
  NPD

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1508575697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MEDICAL CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434602",
            "telephone_number": "931-408-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MEDICAL CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434602",
            "telephone_number": "931-408-9909",
            "fax_number": "866-371-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422402101",
            "country_code": "US",
            "telephone_number": "931-408-9099",
            "fax_number": "866-371-4056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAAGBAY",
        "first_name": "VICTORIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mindsmattertn.org",
            "affiliation": "N",
            "endpointDescription": "Business website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Information",
            "address_1": "118 Medical Ct",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370434602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Mental Health Counselor in Tennessee

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