A Victors Gathering Counseling Service
NPI 1417597683ActiveOrganization· Social Worker, Clinical· Moscow, ID
Social Worker, Clinical in Moscow, Idaho, registered in NPPES in January 2020. The authorized official on file is Kristine Annette Lopez, LCSW, Therapist/Owner.
Overview
| NPI | 1417597683 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2020 |
| Last updated in NPPES | Dec 13, 2023 |
| Certified by provider | Dec 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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