Organization Active NPI

Vibewell Therapy

  • Adult Mental Health Clinic/Center
  • Cocoa, FL
National Provider Identifier
1043085103
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
VIBEWELL THERAPY
Practice address
126 Highland St
Cocoa, FL 32922-7523
Phone
(786) 361-8227
NPI assigned
Nov 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Michelle Chaffardet, LMFTNPI 1265210348
Title
Sole Member
Phone
(305) 970-5519

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

126 Highland St
Cocoa, FL 32922-7523

Mailing address

126 Highland St
Cocoa, FL 32922-7523
Phone (786) 361-8227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231208001955 FL Part B Supplier - Clinic/Group Practice 8729437207 Receives reassigned benefits from 1 practitioner
Practice locations: North Miami Beach, FL

National Provider Directory

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": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1043085103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HIGHLAND ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227523",
            "telephone_number": "786-361-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HIGHLAND ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227523",
            "telephone_number": "786-361-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBEWELL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "CHAFFARDET",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "305-970-5519",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.