1. Home
  2. Directory
  3. Michigan
  4. Jackson
  5. Clinic Center
  6. NPI Profile

VICTORY CLINICAL SERVICES III LLC
NPI 1629101829
Clinic/Center - Multi-Specialty in Jackson, MI

Active since March 14, 2007
3300 LANSING AVE, JACKSON, MI 49202(517) 784-2929 Get Directions Write a Review

NPPES record last updated: March 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Victory Clinical Services Iii Llc NPPES

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

VICTORY CLINICAL SERVICES III LLC (NPI 1629101829) is a healthcare organization registered as a multi-specialty in Jackson, Michigan and active in the NPI registry since March 2007. The organization lists Susan Mcclees, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1629101829
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameVICTORY CLINICAL SERVICES III LLC
Location Address3300 LANSING AVEJackson, MI 49202-1621
Mailing Address3300 Lansing AveJackson, MI 49202-1621 · (517) 784-2929
Phone(517) 784-2929
Organization SubpartNo
Authorized OfficialSusan MccleesExecutive Director · (517) 784-2929
Enumeration DateMarch 14, 2007
Last NPPES UpdateMarch 22, 2012
✔ NPI 1629101829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in MI · 380098
3300 LANSING AVE, Jackson, MI 49202
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified0N77260MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
749 services24 patients

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.

MR. CHARLES E BONNEY CADC
Counselor (Addiction (Substance Use Disorder))
3300 LANSING AVE
JACKSON, MI 49202
Jackson County (517) 784-2929
CARRIE ANN MILLER
Social Worker (Clinical)
3300 LANSING AVE
JACKSON, MI 49202
Jackson County (517) 784-2929
JEANIE ROBERTS
Counselor (Addiction (Substance Use Disorder))
3300 LANSING AVE
JACKSON, MI 49202
Jackson County (254) 458-3509
JAN WALKER LPN
Licensed Practical Nurse
3300 LANSING AVE
JACKSON, MI 49202
Jackson County (517) 784-2929
DANA LYNN POLIZIANI MA
Counselor (Addiction (Substance Use Disorder))
3300 LANSING AVE
JACKSON, MI 49202
Jackson County (517) 784-2929
KAREN ZIMMERMAN LPN
Licensed Practical Nurse
3300 LANSING AVE
JACKSON, MI 49202
Jackson County (517) 784-2929
STACY BAKER LPN
Licensed Practical Nurse
3300 LANSING AVE
JACKSON, MI 49202
Jackson County (517) 784-2929
MATTHEW READER
Counselor (Addiction (Substance Use Disorder))
3300 LANSING AVE
JACKSON, MI 49202
Jackson County (517) 784-2929

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 Victory Clinical Services III LLC's NPI number?

The NPI number for Victory Clinical Services III LLC is 1629101829. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Victory Clinical Services III LLC located?

Victory Clinical Services III LLC is located at 3300 Lansing Ave, Jackson, MI 49202. The listed phone number is (517) 784-2929.

What is Victory Clinical Services III LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Victory Clinical Services III LLC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Victory Clinical Services III LLC 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 Victory Clinical Services III LLC was last updated on March 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.