Active NPI
Victoria Counseling Services Inc
- Adult Mental Health Clinic/Center
- Marlborough, MA
National Provider Identifier
1891179776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 218062
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.