Victory Mental Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

VICTORY MENTAL SERVICES LLC

Doing business as

Victory Mental Services LLC

Practice address

7060 Centennial Dr Ste 102B
Tinley Park, IL 60477-1699

Phone

(708) 575-8043

Fax

(708) 575-7872

NPI assigned

Mar 24, 2025

Last updated

Aug 20, 2026By 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

Idayatu Ola Omoniyi, APRNNPI 1174282826

Title

Aprn/Pmhnp

Phone

(708) 575-8043

Specialties & licenses 1

Addresses

Other names 2

• Victory Mental Services LLC Doing business as
• Idayatu Ola Omoniyi Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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.

• Idayatu Ola Omoniyi, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tinley Park, IL
  • NPI 1174282826

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Johnny White, LCSW

  • Clinical Social Worker
  • South Holland, IL
  • NPI 1306149497
  Medicare reassignment NPD
• Frederick Antwi

  • Nurse Practitioner
  • Pleasant Prairie, WI
  • NPI 1215566435

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1629870506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7060 CENTENNIAL DR STE 102B",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771699",
            "telephone_number": "708-575-8043",
            "fax_number": "708-575-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 CENTENNIAL DR STE 102B",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771699",
            "telephone_number": "708-575-8043",
            "fax_number": "708-575-7872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7060 Centennial Dr Ste 102B",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604771699",
            "country_code": "US",
            "telephone_number": "708-575-8043",
            "fax_number": "708-575-7872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VICTORY MENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "OMONIYI",
        "authorized_official_first_name": "IDAYATU",
        "authorized_official_middle_name": "OLA",
        "authorized_official_title_or_position": "APRN/PMHNP",
        "authorized_official_telephone_number": "708-575-8043",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Mental Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Victory Mental Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Idayatu Ola Omoniyi",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.