Golden Victory Medical

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GOLDEN VICTORY MEDICAL

Practice address

2870 S Maryland Pkwy Ste 200
Las Vegas, NV 89109-1580

Phone

(702) 703-1950

NPI assigned

Nov 21, 2022

Organization subpart

No

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

Authorized official

Name

Nicki Mazzone

Title

Credentialing Coordinator

Phone

(702) 703-1950

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Christine Brown, FNP-C

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1073989356
  NPD (past)

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1891404554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091580",
            "telephone_number": "702-703-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091580",
            "telephone_number": "702-703-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VICTORY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "MAZZONE",
        "authorized_official_first_name": "NICKI",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "702-703-1950"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Touch Behavioral Care LLC
• Golden Touch Home Care
• Golden Touch Mental Health Care LLC
• Golden Victory Medical
• Golden Victory Medical
• Golden Victory Medical Internal Medicine
• Golden Vista Home Health Services, Inc.
• Golden Years Personal Care LLC
• Golden Years Personal Care LLC
• Golden Years Residential Care Facility, LLC

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.