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A VICTORS GATHERING COUNSELING SERVICE
NPI 1417597683
Social Worker - Clinical in Moscow, ID

Active since January 15, 2020
417 E VEATCH ST, MOSCOW, ID 83843(208) 874-7989 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2023, Jan 15, 2020 (2 updates tracked since 2020).

About A Victors Gathering Counseling Service NPPES

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

A VICTORS GATHERING COUNSELING SERVICE (NPI 1417597683) is a healthcare organization registered as a clinical in Moscow, Idaho and active in the NPI registry since January 2020. The organization lists Kristine Annette Lopez, Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1417597683
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameA VICTORS GATHERING COUNSELING SERVICE
Location Address417 E VEATCH STMoscow, ID 83843-3570
Mailing Address417 E Veatch StMoscow, ID 83843-3570 · (208) 874-7989
Phone(208) 874-7989
Organization SubpartNo
Authorized OfficialKristine Annette LopezTherapist/owner · (208) 596-4129
Enumeration DateJanuary 15, 2020
Last NPPES UpdateDecember 13, 20232 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
✔ NPI 1417597683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
417 E VEATCH ST, Moscow, ID 83843
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ANGUS HUGHES LMT
Massage Therapist
417 E VEATCH ST
MOSCOW, ID 83843
Latah County (208) 476-9217

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 A Victors Gathering Counseling Service's NPI number?

The NPI number for A Victors Gathering Counseling Service is 1417597683. It was assigned to this organization in the NPPES registry on January 15, 2020.

Where is A Victors Gathering Counseling Service located?

A Victors Gathering Counseling Service is located at 417 E Veatch St, Moscow, ID 83843. The listed phone number is (208) 874-7989.

What is A Victors Gathering Counseling Service's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for A Victors Gathering Counseling Service was last updated on December 13, 2023. 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.