Victoria Sepulveda, PHD, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5482-125 Issued in WI

Legal business name

VICTORIA SEPULVEDA, PHD, LLC

Practice address

14135 N Cedarburg Rd
Mequon, WI 53097-1416

Phone

(262) 377-2006

Fax

(262) 377-5552

NPI assigned

Jan 13, 2015

Last updated

Jan 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Victoria Irene Miller Sepulveda, PH.D., LPC, CSAC

Title

Counselor

Phone

(419) 377-5836

Specialties & licenses 3

Addresses

Other names 1

• Becker-Gibeau Psychological Services Other name

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1548659618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14135 N CEDARBURG RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971416",
            "telephone_number": "262-377-2006",
            "fax_number": "262-377-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 N CEDARBURG RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971416",
            "telephone_number": "262-377-2006",
            "fax_number": "262-377-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA SEPULVEDA, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "SEPULVEDA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "IRENE MILLER",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "419-377-5836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LPC, CSAC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "5482-125",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15861-132",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5482-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Becker-Gibeau Psychological Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ruchira Varshney, D.O.
• Heather K Vartanian, APNP
• Julianne M Velazquez
• Rhonda Lynn Verdegan, PHD, LAT, ATC CSCS
• Nicole Georgann Viccari, MD
• Kelly Villa, CNM, NP, APNP
• Vintage View Farm Inc (Vintage View Therapy)
• Visionworks, Inc. (Visionworks)
• Visiting Nurse Association of Wisconsin, Inc (Aurora Visiting Nurse Association)
• Terry Jerome Voelske, PA-C

• Professional Counselor in Mequon, WI
• Providers in Mequon, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.