Provider Demographics
NPI:1629945084
Name:GROSS, VICTORIA (MA, LPCC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:GROSS
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7963 LEXINGTON PARK DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-4067
Mailing Address - Country:US
Mailing Address - Phone:719-291-1597
Mailing Address - Fax:
Practice Address - Street 1:3208 N ACADEMY BLVD STE 160
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917-5155
Practice Address - Country:US
Practice Address - Phone:719-291-1597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-21
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0023047101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional