Individual provider Active NPI

Victoria R Danielly, BA

  • Counselor
  • Bremerton, WA
National Provider Identifier
1851907976
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CG61108193 Issued in WA
Practice address
2625 Wheaton Way Ste B
Bremerton, WA 98310-3372
Phone
(360) 792-2020
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CG61008193 WA
Counselor 101Y00000X CG61108193 WA Primary

Addresses

Primary practice location

2625 Wheaton Way Ste B
Bremerton, WA 98310-3372

Mailing address

2625 Wheaton Way Ste B
Bremerton, WA 98310-3372
Phone (360) 792-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
CG61008193WAMDCounselor
CG61108193WAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1851907976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 WHEATON WAY STE B",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103372",
            "telephone_number": "360-792-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 WHEATON WAY STE B",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103372",
            "telephone_number": "360-792-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELLY",
        "first_name": "VICTORIA",
        "middle_name": "R",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG61008193",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG61108193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.