VICTORY CLINICAL SERVICES LLC
NPI 1447383500
Clinic/Center - Multi-Specialty in Kalamazoo, MI

NPI Status: Active since March 14, 2007

Contact Information

401 HOWARD ST
KALAMAZOO, MI
ZIP 49001
Phone: (269) 344-4458

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Accepts Insurance
  • CLIA Number: 23D2058741
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 06-03-2026

About VICTORY CLINICAL SERVICES LLC

This page provides the complete NPI Profile along with additional information for Victory Clinical Services Llc, a provider established in Kalamazoo, Michigan operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1447383500 assigned on March 2007. The practitioner's primary taxonomy code is 261QM1300X with license number 390114 (MI). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Susan Mcclees (Executive Director)

NPI
1447383500
Provider Name
VICTORY CLINICAL SERVICES LLC
Entity Type
Organization
Location Address
401 HOWARD ST KALAMAZOO, MI 49001
Location Phone
(269) 344-4458
Mailing Address
401 HOWARD ST KALAMAZOO, MI 49001
Mailing Phone
(269) 344-4458
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2007
Last Update Date
07-15-2015
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
390114
License State
MI

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

390114 (MI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Bronson Healthcare Partners - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Balanced Silver Trinity Health East Network - HMO
  • MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSAN MCCLEES

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(269) 344-4458

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0N77250MEDICARE PIN (08)MI 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

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

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.

This service was performed 1,294 times for 43 patients

Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for

Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.

This service was performed 18 times for 18 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2058741
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
June 04, 2024
Certificate Expiration Date
June 03, 2026
Laboratory Director
DAVID BLANKENSHIP
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Victory Clinical Services Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for VICTORY CLINICAL SERVICES LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447383500
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
248768650
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 6 + 8 + 6 + 5 + 0 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1447383500 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790942837MRS. JANESE LYNN MATTERN
Individual
Registered Nurse401 HOWARD ST
KALAMAZOO, MI 49001
(269) 383-9055
1053702647 LINDSEY SUE PALAR LLMSW
Individual
Social Worker (Clinical)401 HOWARD ST
KALAMAZOO, MI 49001
(269) 344-4458
1689044216 HILLARY HOWARD M.S.W.
Individual
Social Worker (Clinical)401 HOWARD ST
KALAMAZOO, MI 49001
(269) 344-4458
1891816427MR. LORENZ P KIELHORN M.D.
Individual
Family Medicine (Addiction Medicine)401 HOWARD ST
KALAMAZOO, MI 49001
(269) 344-4458
1740722784 FELICIA SMITH
Individual
Case Manager/Care Coordinator401 HOWARD ST
KALAMAZOO, MI 49001
(269) 344-4458
1619306339MS. RACHEL LOBEL LMSW, CAADC, ADS
Individual
Social Worker (Clinical)401 HOWARD ST
KALAMAZOO, MI 49001
(269) 344-4458
1184096547 AMBER JARAMILLO MA, LLP
Individual
Psychologist (Counseling)401 HOWARD ST
KALAMAZOO, MI 49001
(269) 344-4458
1942686431MRS. HEATHER BRIEGEL-MCCORD LMSW, CAADC
Individual
Social Worker401 HOWARD ST
KALAMAZOO, MI 49001
(269) 344-4458
1972088003 CORRINA LASHAE EDMONSON
Individual
Counselor (Addiction (Substance Use Disorder))401 HOWARD ST
KALAMAZOO, MI 49001
(269) 344-4458
1467922344 HEATHER OLECH
Individual
Counselor (Addiction (Substance Use Disorder))401 HOWARD ST
KALAMAZOO, MI 49001
(269) 344-4458
1346711066 STEPHANIE POULOS
Individual
Counselor (Addiction (Substance Use Disorder))401 HOWARD ST
KALAMAZOO, MI 49001
(269) 344-4458
1487202602 REINA ROZNOWSKI
Individual
Counselor (Addiction (Substance Use Disorder))401 HOWARD ST
KALAMAZOO, MI 49001
(269) 344-4458
1700434917 JANAY CHRISTIAN
Individual
Counselor (Addiction (Substance Use Disorder))401 HOWARD ST
KALAMAZOO, MI 49001
(269) 344-4458
1457626590 BEVIN BEHRENDT
Individual
Counselor (Addiction (Substance Use Disorder))401 HOWARD ST
KALAMAZOO, MI 49001
(269) 344-4458
1356981781 JAZMIN GUY-WALLACE
Individual
Counselor (Addiction (Substance Use Disorder))401 HOWARD ST
KALAMAZOO, MI 49001
(269) 344-4458
1497364772 MELANIE CORRINE LOZER
Individual
Counselor (Addiction (Substance Use Disorder))401 HOWARD ST
KALAMAZOO, MI 49001
(269) 344-4458
1982208666 NICOLE JOHNSTON
Individual
Counselor (Addiction (Substance Use Disorder))401 HOWARD ST
KALAMAZOO, MI 49001
(248) 564-1949
1760071237 KERRY BURKHART
Individual
Counselor (Addiction (Substance Use Disorder))401 HOWARD ST
KALAMAZOO, MI 49001
(151) 730-3490
1194300590 LAUREN DOYLE
Individual
Counselor (Addiction (Substance Use Disorder))401 HOWARD ST
KALAMAZOO, MI 49001
(269) 344-4458
1831773399 ELENA RAMOS
Individual
Counselor (Addiction (Substance Use Disorder))401 HOWARD ST
KALAMAZOO, MI 49001
(269) 344-4458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447383500, enumerated in the NPI registry as an "organization" on March 14, 2007

The provider is located at 401 Howard St Kalamazoo, Mi 49001 and the phone number is (269) 344-4458

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: 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 and Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for.

The provider's CLIA number is 23D2058741 for a "comp. outpatient rehab facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.