VICTORY MENTAL SERVICES LLC
NPI 1629870506
Nurse Practitioner - Psychiatric/Mental Health in Tinley Park, IL

Q: What is Victory Mental Services LLC's NPI number?

The NPI number for Victory Mental Services LLC is 1629870506. It was assigned to this organization in the NPPES registry on March 24, 2025. The provider is also known as Idayatu Ola Omoniyi.

Q: What is Victory Mental Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since March 24, 2025

7060 CENTENNIAL DR STE 102B, TINLEY PARK, IL 60477(708) 575-8043(708) 575-7872 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2026, Sep 3, 2025, May 19, 2025 and 1 more (4 updates tracked since 2025).

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About Victory Mental Services Llc NPPES

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

VICTORY MENTAL SERVICES LLC (NPI 1629870506) is a healthcare organization registered as a psychiatric/mental health in Tinley Park, Illinois and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Tinley Park and lists Idayatu Ola Omoniyi, Aprn/pmhnp, as its authorized official.

NPPES Registry Identity

NPI1629870506

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameVICTORY MENTAL SERVICES LLC

Location Address7060 CENTENNIAL DR STE 102BTinley Park, IL 60477-1699

Mailing Address7060 Centennial Dr Ste 102bTinley Park, IL 60477-1699 · (708) 575-8043 · Fax (708) 575-7872

Phone(708) 575-8043

Fax(708) 575-7872

Organization SubpartNo

Authorized OfficialIdayatu Ola OmoniyiAprn/pmhnp · (708) 575-8043

Enumeration DateMarch 24, 2025

Last NPPES UpdateAugust 20, 20264 updates tracked since enumeration

NPPES CertifiedAugust 20, 2026

✔ NPI 1629870506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

7060 CENTENNIAL DR STE 102B, Tinley Park, IL 60477

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Other Names 2

Doing Business AsVictory Mental Services Llc

Other NameIdayatu Ola Omoniyi

Secondary Practice Location 1

Location 17060 Centennial Dr Ste 102BTinley Park, IL 60477-1699 · Phone (708) 575-8043 · Fax (708) 575-7872

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victory Mental Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Victory Mental Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Idayatu Omoniyi, APRN, PMHNP

Nurse Practitioner

NPI 1174282826

7060 CENTENNIAL DR STE 102B
Tinley Park, IL 60477

(708) 575-8043

✔ PECOS✔ Accepts MedicareSame address

Johnny White, LCSW

Clinical Social Worker

NPI 1306149497

15663 KIMBARK AVE
South Holland, IL 60473

(630) 747-4498

✔ PECOS11 mi

Frederick Antwi

Nurse Practitioner

NPI 1215566435

12500 AURORA DR
Pleasant Prairie, WI 53158

(262) 857-5000

✔ PECOS✔ Accepts Medicare65 mi

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

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 Mental Services LLC's NPI number?

The NPI number for Victory Mental Services LLC is 1629870506. It was assigned to this organization in the NPPES registry on March 24, 2025. The provider is also known as Idayatu Ola Omoniyi.

Where is Victory Mental Services LLC located?

Victory Mental Services LLC is located at 7060 Centennial Dr Ste 102B, Tinley Park, IL 60477. The listed phone number is (708) 575-8043.

What is Victory Mental Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Victory Mental Services LLC enrolled in Medicare?

Yes. Victory Mental Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Victory Mental Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Victory Mental Services LLC, in Clinical Social Worker and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Victory Mental Services LLC was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.