Organization Active NPI

Vibrant Mind Therapy PLLC

  • Mental Health Counselor
  • Cary, NC
National Provider Identifier
1003792227
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VIBRANT MIND THERAPY PLLC
Practice address
15000 Weston Pkwy Ofc 148
Cary, NC 27513-2118
Phone
(765) 891-2120
NPI assigned
Aug 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wade P. ThomasNPI 1013523117
Title
Owner/Therapist
Phone
(765) 891-2120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

15000 Weston Pkwy Ofc 148
Cary, NC 27513-2118

Mailing address

107 Twisted Oak PL
Durham, NC 27705-5567
Phone (765) 891-2120

National Provider Directory

National Provider Directory

Locations

15000 Weston Pkwy
Ofc 148
Cary, NC 27513
Phone (765) 891-2120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1003792227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TWISTED OAK PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055567",
            "telephone_number": "765-891-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 WESTON PKWY OFC 148",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132118",
            "telephone_number": "765-891-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT MIND THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "765-891-2120"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.