Individual provider Active NPI

Angela Joy Silva, MA, LPCC-S

  • Mental Health Counselor
  • Mount Vernon, KY
National Provider Identifier
1700274248
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
175225 Issued in KY
Practice address
20 Lovell Court
Mt Vernon, KY 40456
Phone
(606) 401-2075
Fax
(606) 401-2076
NPI assigned
Jan 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 175225 KY Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

20 Lovell Court
Mt Vernon, KY 40456

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
7100498980MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313001266 KY Practitioner - Mental Health Counselor 7911309000 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victory Behavioral HealthGroup PAC ID 6002384674, 2 clinicians

Practice addresses (Care Compare)

111 Progress Dr
Suite 400
Mount Vernon, KY 40456-8590
Phone (606) 401-2075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
175225KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Counseling Mental Health CurrentSince Mar 1, 2021 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Victory Solutions Professional CurrentSince Sep 8, 2025 Accepting new patients
Victory Behavioral Health Professional PastSince Jun 7, 2020 Accepting new patients

Locations

1700 Forest Dr
Corbin, KY 40701
Phone (606) 401-2075

312 S 4th St
Louisville, KY 40202
Phone (502) 213-5590

111 Progress Dr
Ste 400
Mount Vernon, KY 40456
Phone (606) 401-2075

817 W Columbia St
Ste 1
Somerset, KY 42501
Phone (606) 401-2075

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1700274248",
    "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": "20 LOVELL COURT",
            "city": "MT VERNON",
            "state": "KY",
            "postal_code": "40456",
            "telephone_number": "606-401-2075",
            "fax_number": "606-401-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "ANGELA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "MA, LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "175225",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100498980",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, KY

Sources for this page

Verify at the official NPI Registry.