VICTORIOUS OMHC
NPI 1649925785
Clinic/Center - Mental Health (Including Community Mental Health Center) in Baltimore, MD

Active since February 17, 2022
2901 DRUID PARK DR STE A202, BALTIMORE, MD 21215(410) 488-5171(410) 488-5173 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2022, Feb 17, 2022 (2 updates tracked since 2022).

About Victorious Omhc NPPES

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

VICTORIOUS OMHC (NPI 1649925785) is a healthcare organization registered as a mental health (including community mental health center) in Baltimore, Maryland and active in the NPI registry since February 2022. The organization lists Bosede O Adetunji Idowu, Owner, as its authorized official.

NPPES Registry Identity

NPI1649925785
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameVICTORIOUS MENTAL HEALTHCARE LLC
Location Address2901 DRUID PARK DR STE A202Baltimore, MD 21215-8131
Mailing Address2901 Druid Park Dr Ste A202Baltimore, MD 21215-8131 · (410) 488-5171 · Fax (410) 488-5173
Fax(410) 488-5173
Organization SubpartNo
Authorized OfficialBosede O Adetunji IdowuOwner · (443) 540-0338
Enumeration DateFebruary 17, 2022
Last NPPES UpdateMarch 3, 20222 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
✔ NPI 1649925785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2901 DRUID PARK DR STE A202, Baltimore, MD 21215

Other Names 1

Other NameVictorious Omhc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Victorious Omhc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1124993704
2500 W FOREST PARK AVE
Baltimore, MD 21215
(443) 844-7833
✔ PECOS0.3 mi
Clinical Social Worker
NPI 1952666885
5411 OLD FREDERICK RD STE 7
Baltimore, MD 21229
(443) 939-0513
✔ PECOS4.0 mi
Clinical Social Worker
NPI 1780012138
9199 REISTERSTOWN RD STE 217C
Owings Mills, MD 21117
(443) 840-8775
✔ PECOS7.0 mi
Clinical Social Worker
NPI 1861966582
4216 SILVER SPRING RD
Perry Hall, MD 21128
(410) 893-4600
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1518657527
3717 WOLF TRAIL DR
Abingdon, MD 21009
(443) 449-1908
✔ PECOS✔ Accepts Medicare23 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 Victorious Mental Healthcare LLC's NPI number?

The NPI number for Victorious Mental Healthcare LLC is 1649925785. It was assigned to this organization in the NPPES registry on February 17, 2022. The provider is also known as Victorious Omhc.

Where is Victorious Mental Healthcare LLC located?

Victorious Mental Healthcare LLC is located at 2901 Druid Park Dr Ste A202, Baltimore, MD 21215. The listed phone number is (410) 488-5171.

What is Victorious Mental Healthcare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Victorious Mental Healthcare LLC enrolled in Medicare?

Yes. Victorious Mental Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Victorious Mental Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Victorious Mental Healthcare LLC. 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. The largest specialties are Clinical Social Worker (3) and Nurse Practitioner (2). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Victorious Mental Healthcare LLC was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.