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VICTORIA SOUSA
NPI 1104487586
Counselor in Putnam, CT

Active since June 26, 2019PECOS Enrolled
391 POMFRET ST, PUTNAM, CT 06260(860) 963-4971(860) 963-4979 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Victoria Sousa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORIA SOUSA (NPI 1104487586) is an individual counselor in Putnam, Connecticut and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2021).

NPPES Registry Identity

NPI1104487586
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameVICTORIA SOUSA
Location Address391 POMFRET STPutnam, CT 06260-1852
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1587 · (860) 731-5522 · Fax (860) 731-5536
Phone(860) 963-4971
Fax(860) 963-4979
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2021
Enumeration DateJune 26, 2019
Last NPPES UpdateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
✔ NPI 1104487586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
391 POMFRET ST, Putnam, CT 06260
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Sousa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517494628
PECOS Enrollment IDI20241231000100
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Victoria Sousa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Change Counseling, LLC
20 mi
Clinical
750R MAIN ST
Willimantic, CT 06226
  • Reassigned Medicare billing, Connecticut enrollment
  • 10 clinicians in this Medicare group
NPI 1780141465 (860) 833-2657

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN SAVINO
Counselor (Addiction (Substance Use Disorder))
391 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (886) 073-1552
KERRI DEORSEY LPN
Licensed Practical Nurse
391 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-4971
MARY MCGINN
Counselor
391 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-4971
HEATHER L ADAMEC RN
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 731-5522
JULIE A WARDELL RN
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 731-5522
TRACI L GWIAZDOWSKI
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 731-5522
JASMYN CUC-SAENZ RN
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 731-5522
HOLLY SANTIAGO
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-4971

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victoria Sousa's NPI number?

The NPI number for Victoria Sousa is 1104487586. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Victoria Sousa located?

Victoria Sousa practices at 391 Pomfret St, Putnam, CT 06260. The listed phone number is (860) 963-4971.

What is Victoria Sousa's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Victoria Sousa enrolled in Medicare?

Yes. Victoria Sousa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Victoria Sousa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Sousa reassigns Medicare benefits to Change Counseling, LLC (Willimantic, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Victoria Sousa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Victoria Sousa was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.