NPIMap

Organization Active NPI

Vibrant Mental Wellness LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Portland, OR
National Provider Identifier
1033974944
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
VIBRANT MENTAL WELLNESS LLC
Practice address
10260 SW Greenburg Rd FL 4
Portland, OR 97223-5500
Phone
(763) 568-6378
NPI assigned
Feb 20, 2024
Organization subpart
Yes
Parent organization
VIBRANT MENTAL WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Jackline AukaNPI 1417675026
Title
Owner
Phone
(432) 267-8216

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
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0808X Primary

Addresses

Primary practice location

10260 SW Greenburg Rd FL 4
Portland, OR 97223-5500

Mailing address

10260 SW Greenburg Rd FL 4
Portland, OR 97223-5500

National Provider Directory

National Provider Directory
Tax ID family
Vibrant Mental Wellness LLC3 organizations share this tax ID, including this one
Part of
Vibrant Mental Wellness LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1033974944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10260 SW GREENBURG RD FL 4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 SW GREENBURG RD FL 4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235500",
            "telephone_number": "763-568-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT MENTAL WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIBRANT MENTAL WELLNESS LLC",
        "enumeration_date": "2024-02-20",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "AUKA",
        "authorized_official_first_name": "JACKLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-267-8216"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.