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MRS. VICTORIA MARIE BLINK LCAC
NPI 1619508009
Counselor - Addiction (Substance Use Disorder) in Indianapolis, IN

Active since February 04, 2020PECOS Enrolled
675 JUSTICE WAY RM C0049, INDIANAPOLIS, IN 46203(219) 798-3361 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2025, Feb 4, 2020 (2 updates tracked since 2020).

About Mrs. Victoria Marie Blink Lcac NPPES

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

MRS. VICTORIA MARIE BLINK LCAC (NPI 1619508009) is an individual addiction (substance use disorder) provider in Indianapolis, Indiana, licensed in Indiana (87900022A) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619508009
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. VICTORIA MARIE BLINKCredential: LCAC
Location Address675 JUSTICE WAY RM C0049Indianapolis, IN 46203-1574
Mailing Address17272 Donald CtLowell, IN 46356-4621 · (219) 798-3361
Phone(219) 798-3361
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 4, 2020
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1619508009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IN · 87900022A
675 JUSTICE WAY RM C0049, Indianapolis, IN 46203
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Victoria Marie Blink Lcac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678070281
PECOS Enrollment IDI20251009001279
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 Blink reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Holon Health Great Lakes, P.C.
482 mi
Family Medicine
11551 NUCKOLS RD STE R
Glen Allen, VA 23059
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Holon Health Great Lakes PC
  • 21 clinicians in this Medicare group
NPI 1194414805 (877) 465-6650

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

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

SHANNON JOHNSTON
Nurse Practitioner
675 JUSTICE WAY RM C0049
INDIANAPOLIS, IN 46203
Marion County (877) 465-6650

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 Blink's NPI number?

The NPI number for Victoria Blink is 1619508009. It was assigned to this individual provider in the NPPES registry on February 4, 2020.

Where is Victoria Blink located?

Victoria Blink practices at 675 Justice Way Rm C0049, Indianapolis, IN 46203. The listed phone number is (219) 798-3361.

What is Victoria Blink's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Victoria Blink enrolled in Medicare?

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

Which organization bills Medicare for Victoria Blink's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Blink reassigns Medicare benefits to Holon Health Great Lakes, P.C. (Glen Allen, VA). 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 Blink's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Victoria Blink accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Victoria Blink as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Victoria Blink was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.