Organization Active NPI

Victory Counseling With Amy Buchanan

  • Clinical Social Worker
  • Navarre, FL
National Provider Identifier
1699487181
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VICTORY COUNSELING WITH AMY BUCHANAN
Practice address
2214 Parker Place CT
Navarre, FL 32566-2871
Phone
(530) 220-0431
NPI assigned
Dec 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Amy Buchanan, LCSWNPI 1861940165
Title
Owner
Phone
(530) 220-0431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2214 Parker Place CT
Navarre, FL 32566-2871

Mailing address

2214 Parker Place CT
Navarre, FL 32566-2871
Phone (530) 220-0431

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Therabill Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1699487181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 PARKER PLACE CT",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662871",
            "telephone_number": "530-220-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 PARKER PLACE CT",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662871",
            "telephone_number": "530-220-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY COUNSELING WITH AMY BUCHANAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-220-0431",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Therabill",
            "affiliation": "N",
            "endpointDescription": "WEB PT Charting/billing",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2214 Parker Place Ct",
            "city": "Navarre",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325662871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.