Organization Active NPI

Victory Behavioral Health

  • Professional Counselor
  • Mount Vernon, KY
National Provider Identifier
1538913892
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
VICTORY BEHAVIORAL HEALTH
Practice address
111 Progress Dr Ste 400
Mount Vernon, KY 40456-8590
Phone
(606) 401-2075
Fax
(606) 401-2076
NPI assigned
Apr 15, 2024
Last updated
Apr 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Kathy McKee
Title
Partner
Phone
(513) 316-4634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

111 Progress Dr Ste 400
Mount Vernon, KY 40456-8590

Mailing address

PO Box 72
Mount Vernon, KY 40456-0072
Phone (606) 401-2075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260501003268 KY Part B Supplier - Clinic/Group Practice 6002384674 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Vernon, KY; Somerset, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1538913892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404560072",
            "telephone_number": "606-401-2075",
            "fax_number": "606-401-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PROGRESS DR STE 400",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404568590",
            "telephone_number": "606-401-2075",
            "fax_number": "606-401-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-14",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "513-316-4634"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.