NPIMap

Organization Active NPI

Victory Communication Services, LLC

  • Speech-Language Pathologist
  • Potomac, MD
National Provider Identifier
1750774378
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
000299 Issued in DC
Legal business name
VICTORY COMMUNICATION SERVICES, LLC
Practice address
10607 Great Arbor Dr
Potomac, MD 20854-4220
Phone
(301) 613-1986
Fax
(301) 765-9558
NPI assigned
Mar 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Dr. Cassandra Peters-Johnson, PHD, CCC-SLP
Title
Owner/Speech-Language Pathologist
Phone
(301) 613-1986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 000299 DC Primary

Addresses

Primary practice location

10607 Great Arbor Dr
Potomac, MD 20854-4220

Mailing address

10607 Great Arbor Dr
Potomac, MD 20854-4220
Phone (301) 613-1986

Other identifiers 4

IdentifierTypeStateIssuer
00172254OtherMDAMERICAN SPEECH-LANGUAGE-HEARING ASSOC. CERTIFICATION
056838900MedicaidDC
00685OtherMDBD OF EXAMINERS FOR AUDS, HADS, AND SLPS
000299OtherDCDC HEALTH & REGULATION LICENSING ADM BD OF AUD & SPEECH-LANG PATH

Other names 1

  • Cassandra Peters-Johnson, PhD, CCC-SLP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1750774378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10607 GREAT ARBOR DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544220",
            "telephone_number": "301-613-1986",
            "fax_number": "301-765-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10607 GREAT ARBOR DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544220",
            "telephone_number": "301-613-1986",
            "fax_number": "301-765-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY COMMUNICATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "PETERS-JOHNSON",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "301-613-1986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "000299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOC. CERTIFICATION",
            "identifier": "00172254",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056838900",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BD OF EXAMINERS FOR AUDS, HADS, AND SLPS",
            "identifier": "00685",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC HEALTH & REGULATION LICENSING ADM BD OF AUD & SPEECH-LANG PATH",
            "identifier": "000299",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cassandra Peters-Johnson, PhD, CCC-SLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.