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VICTORIOUS MENTAL HEALTHCARE LLC
NPI 1962032995
Community/Behavioral Health in Baltimore, MD

Active since January 17, 2020
5006 BELAIR RD, BALTIMORE, MD 21206(443) 540-0338 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Victorious Mental Healthcare Llc NPPES

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

VICTORIOUS MENTAL HEALTHCARE LLC (NPI 1962032995) is a healthcare organization registered as a community/behavioral health in Baltimore, Maryland and active in the NPI registry since January 2020. The organization lists Bosede Oluwatoyin Adetunji - Idowu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962032995
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameVICTORIOUS MENTAL HEALTHCARE LLC
Location Address5006 BELAIR RDBaltimore, MD 21206-5101
Mailing Address5006 Belair RdBaltimore, MD 21206-5101 · (443) 540-0338
Phone(443) 540-0338
Organization SubpartNo
Authorized OfficialBosede Oluwatoyin Adetunji - IdowuCeo · (443) 540-0338
Enumeration DateJanuary 17, 2020
✔ NPI 1962032995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
5006 BELAIR RD, Baltimore, MD 21206
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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 Mental Healthcare Llc 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 Mental Healthcare LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Erica Johnson, LCSW-C
Clinical Social Worker
NPI 1861966582
4216 SILVER SPRING RD
Perry Hall, MD 21128
(410) 893-4600
✔ PECOS✔ Accepts Medicare5.3 mi
Richard Hanna
Nurse Practitioner
NPI 1124993704
2500 W FOREST PARK AVE
Baltimore, MD 21215
(443) 844-7833
✔ PECOS5.6 mi
Abena Adoko Sando, MSW, LCSW-C
Clinical Social Worker
NPI 1952666885
5411 OLD FREDERICK RD STE 7
Baltimore, MD 21229
(443) 939-0513
✔ PECOS9.4 mi
Bridgette Threat, LCSW-C
Clinical Social Worker
NPI 1780012138
9199 REISTERSTOWN RD STE 217C
Owings Mills, MD 21117
(443) 840-8775
✔ PECOS11 mi
Kehinde Joseph, PMHNP-BC
Nurse Practitioner
NPI 1518657527
3717 WOLF TRAIL DR
Abingdon, MD 21009
(443) 449-1908
✔ PECOS✔ Accepts Medicare18 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 1962032995. It was assigned to this organization in the NPPES registry on January 17, 2020.

Where is Victorious Mental Healthcare LLC located?

Victorious Mental Healthcare LLC is located at 5006 Belair Rd, Baltimore, MD 21206. The listed phone number is (443) 540-0338.

What is Victorious Mental Healthcare LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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 January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.