Organization Active NPI

Victoria Counseling Services Inc

  • Adult Mental Health Clinic/Center
  • Marlborough, MA
National Provider Identifier
1891179776
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
218062 Issued in MA
Legal business name
VICTORIA COUNSELING SERVICES INC
Practice address
114 Kelber Dr
Marlborough, MA 01752-1275
Phone
(508) 826-9488
NPI assigned
Jul 10, 2015
Last updated
Jul 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Josephine Banigo, NP
Title
Njurse Practitioner
Phone
(508) 826-9488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 218062 MA Primary

Addresses

Primary practice location

114 Kelber Dr
Marlborough, MA 01752-1275

Mailing address

320 Bolton St
Suite 204
Marlborough, MA 01752-3988
Phone (508) 826-9488

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1891179776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BOLTON ST",
            "address_2": "SUITE 204",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523988",
            "telephone_number": "508-826-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 KELBER DR",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521275",
            "telephone_number": "508-826-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "BANIGO",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "NJURSE PRACTITIONER",
        "authorized_official_telephone_number": "508-826-9488",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "218062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.