Victory Mountain Psychotherapy, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0701003590 Issued in VA

Legal business name

VICTORY MOUNTAIN PSYCHOTHERAPY, INC

Practice address

27659 Burgundy Crossing Lane
Canyon Country, CA 91351

Phone

(540) 842-4999

Fax

(540) 371-8428

NPI assigned

Jan 8, 2015

Last updated

Feb 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Sumpolec, LPCCNPI 1164569018

Title

Ceo/Owner

Phone

(540) 842-4999

Specialties & licenses 1

Addresses

Other names 1

• Victory Christian Counseling, Inc Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Sumpolec, M.A. LPC

  • Professional Counselor
  • Canyon Country, CA
  • NPI 1164569018
  NPD Authorized official

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1942698246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18565 SOLEDAD CANYON ROAD",
            "address_2": "BOX 302",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513700",
            "telephone_number": "540-842-4999",
            "fax_number": "540-371-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27659 BURGUNDY CROSSING LANE",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "91351",
            "telephone_number": "540-842-4999",
            "fax_number": "540-371-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MOUNTAIN PSYCHOTHERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "SUMPOLEC",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "540-842-4999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701003590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Christian Counseling, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• VA Greater Los Angeles Health System
• Jennifer Marie Vaccaro, DC
• Guillermina Gigi Valdes Huckabee, LMFT
• Valencia Home Health Care, LLC
• Krishan Kumar Vashistha, MD
• Carolina Escaro Villate Mendoza, DMD
• Linh Nhuphuong Vo, D.D.S.
• Amy C Wagner, M.D.
• Carla Jean Walker, MFT
• Lisa Gail Webster, LMFT

• Community/Behavioral Health Agency in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.